After weighing the various considerations, Dr. Mallory decided to prescribe an STCTfor 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