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After weighing the various considerations, Dr. Mallory decided to prescribe an STCT for Teresa’s PAH treatment. Teresa is eager to begin treatment and assumes that she’ll simply be able to pick up her new prescription from her local pharmacy. 

However, as Dr. Mallory has informed her, the fulfillment process for this treatment isn’t as straightforward as medications she’s taken in the past. Let’s review the steps our stakeholders took to secure Teresa’s access to an STCT.

Dr. Frank Mallory

Pulmonologist

She/Her

Fulfillment Process

Let’s explore the fullfillment journey for an STCT and listen to stakeholders within Teresa’s care ecosystem as they navigate the process. 

Rx decision for an STCT

Nurse practitioner completes PSMN, submitted via fax

Patient completes REMS

Patient info is missing from enrollment form

Long delay in trying to contact the patient for the missing info

Benefits investigation

HCP and office staff submit prior authorization request

Prior authorization is denied

HCP appeals

Prior authorization is approved

Specialty pharmacy dispenses first shipment

ACTIVITY

Let’s reflect as a group on the fulfillment journey and rank the top 5 challenges of the process for patients. If we identify any additional challenges not on the list, we can capture them in the space provided below. 

7 Minutes

Top 5 Challenges

Drag challenges below into the blue boxes above to indicate your top five selections