On the left hand navigation bar, choose Filing a Complaint.
You will find forms and instructions for filing a complaint. Complaints filed by patients take priority. The State Board of Pharmacy does not get involved in other aspects of this problem, so please narrow your complaints to patient steering concerns.
Call your PSAO.
Put the pressure on them to do something.
Members have reported that not all PSAOs are filing CVS/Caremark appeals even though you may have contracted for them to do so. CHECK to make sure the appeals are being filed!
If you are in a Value-based Contract:
Contact your PPS and inform them of the patient impact this situation is creating. Payments to hospitals in the value-based program DEPEND on patient adherence to their medication therapy.
Tell them to watch for an uptick in hospital readmissions and an increase in emergency room visits.
Ask them to report to you any changes they may be experiencing.