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UWHC,UWMF,

Policies,Administrative,UW Health Administrative,Fiscal Affairs

Pharmacy Payment and Charging Policy for Take Home Prescriptions (2.18)

Pharmacy Payment and Charging Policy for Take Home Prescriptions (2.18) - Policies, Administrative, UW Health Administrative, Fiscal Affairs

2.18


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Administrative (Non-Clinical) Policy
This administrative policy applies to the operations and staff of the University of Wisconsin Hospitals and
Clinics Authority (UWHCA) as integrated effective July 1, 2015, including the legacy operations and
staff of University of Wisconsin Hospital and Clinics (UWHC) and University of Wisconsin Medical
Foundation (UWMF).


Policy Title: Pharmacy Payment and Charging Policy for Take Home
Prescriptions
Policy Number: 2.18
Effective Date: August 10, 2017
Chapter: Fiscal Affairs
Version: Revision


I. PURPOSE

To establish a payment policy for take-home prescriptions from UW Health Pharmacy Services,
ambulatory pharmacies owned and operated by UW Health. This policy includes, but is not limited to,
payment for prescriptions for inpatient discharge, UW Health Clinics, Ambulatory Surgery and
Emergency Room patients.

II. POLICY ELEMENTS

UW Health requires payment at time of service for all take home prescriptions filled by UW Health
Pharmacies and remote dispense locations. This includes any portion of the prescription not directly billed
to or paid by the patient’s insurance company or a third party. Payment may be made by cash, personal
check, debit card, MasterCard, Visa, Discover Card or Employee Payroll deduction at the time of service.
Pharmacies can also process e-check or credit card transactions for non-face to face encounters.

III. PROCEDURE

A. All patients will be requested to pay upon receipt of their prescriptions at UW Health Pharmacies
for those amounts not paid by insurance or a third party. The UW Health Pharmacy will provide
insurance or third party billing as allowed.

B. Limited bridging supplies during evening, weekends and holidays may be allowed by the
Outpatient Pharmacist on duty if all options of payment have been exhausted, if medication is
medically urgent and necessary, per pharmacist and patient’s provider, and the medication cannot
be obtained elsewhere immediately. In these situations, the patient will only be provided a limited
bridging supply (generally 1-3 days).

C. Exceptions to this policy for take home prescriptions require review and approval by Medication
Assistance Program staff or Inpatient Medication Access Specialists per guidelines outlined in
Ambulatory Pharmacy Procedure 5.2.



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IV. COORDINATION

Sr. Management Sponsor: VP, Professional Services
Author: Director, Pharmacy

Approval Committee: UW Health Administrative Policy & Procedure Committee



SIGNED BY

Elizabeth Bolt
UW Health Chief Administrative Officer