{"id":5101,"date":"2021-02-17T02:38:51","date_gmt":"2021-02-17T02:38:51","guid":{"rendered":"https:\/\/demo.mailmeds.com\/?page_id=5101"},"modified":"2021-02-26T19:29:20","modified_gmt":"2021-02-26T19:29:20","slug":"welcome-packet","status":"publish","type":"page","link":"https:\/\/mailmeds.com\/home\/welcome-packet\/","title":{"rendered":"Welcome Packet"},"content":{"rendered":"\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t\t\t
<\/div>\n\t\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t

Welcome Packet<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t

Mail-Meds Clinical Pharmacy<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
<\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t

Fulfilling Your Specialty Pharmacy Needs<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\tEnroll in Mail-Meds (English)<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\tEnroll in Mail-Meds (Spanish)<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t

Click Here to download the English printed version<\/a><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t

Click Here to download the Spanish printed version<\/a><\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t\t
\n\t\t\t
\n\t\t\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

WELCOME!<\/strong><\/p>

Dear Patient,<\/p>

Welcome to JTJ Medical Supply, Inc. which operates all Mail-Meds Clinical Pharmacy locations.<\/p>

The staff at Mail-Meds Clinical Pharmacy understands your health care needs are complex and require individual care and attention.\u00a0 We focus on person-centered care services, not just the disease.\u00a0 We partner with you, as part of your care team, providing care that is respectful of and responsive to your preferences, needs, and values. We are here to support you in achieving the most benefit from your medication by:<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

Patient Rights<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

\u2022\u00a0 Listening to you about how well your medication is working for you.
\u2022\u00a0 Monitoring the effectiveness of and your adherence to your medication.
\u2022\u00a0 Providing support for other conditions and symptoms you may have.
\u2022\u00a0 Providing you education on your medication needs and medical conditions.
\u2022\u00a0 Coordinating services with your doctor.
\u2022\u00a0 Verifying and explaining your insurance benefits.
\u2022\u00a0 Coordinating with your insurance company benefits and obtaining additional financial assistance for you when available.
\u2022\u00a0 Offering access to clinical Pharmacists 24 hours a day, 7 days a week.
\u2022\u00a0 Enrollment in our Patient Management Program.
\u2022\u00a0 Development of personal Care Plans.
\u2022\u00a0 Providing you with courteous and compassionate staff members who will make the ordering process and medication management easier.
\u2022\u00a0 Offering specialty packaging and convenient delivery.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t\t\t

In addition, you can access our website at www.mailmeds.com 24 hours a day for further information about the programs that we offer.<\/p>

Our business hours are as follows:<\/p>

Monday \u2013 Friday: 9:00am \u2013 5:30pm EST
Saturday: Closed
Sunday: Closed<\/p>

Local Phone Number: (239) 939-9226
Toll Free Number: (800) 939-2022
Fax Number: (855) 523-0910<\/p>

Enclosed is your patient welcome packet containing information on Mail-Meds Clinical Pharmacy, our services, patient safety, and other important patient information. Please take a few minutes to read through this information, and keep this packet in a safe place for future reference. If you have any questions please call our Health Benefits Coordinators, your assigned patient advocate, at (800) 939-2022, option 3.<\/p>

We understand you have choices for your medication needs. We are honored to have been chosen as your specialty pharmacy provider!<\/p>

Sincerely,
The Mail-Meds Clinical Pharmacy Team<\/span><\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

Patient Responsibilities<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

About JTJ Medical Supply<\/p>

Mail-Meds Clinical Pharmacy at a Glance
Mission Statement and Vision
Notice of Nondiscrimination
Hours of Operation
Locations
Reaching Us after Hours
Pharmacy Emergency Disaster Information<\/p>

What to Expect<\/strong><\/p>

Defining Specialty Pharmacy<\/strong><\/p>

Patient Clinical Management Program<\/span><\/strong><\/p>

Medication Adherence
Medication Therapy Management (MTM)
Drug Utilization Review (DUR)
Communication and Patient Education
Coordination of Care and Services
Program Benefits and Limitations<\/p>

Customer Information<\/span><\/strong><\/p>

How to Place an Order
Ordering Refills
Order Status and Medication Delivery
Emergencies and Delivery
Generic Substitutions
Medications Not Available
Adverse Drug Reaction
Medical Emergency
Controlled Substances
Drug Recalls
Returning Goods and\/or Supplies
Regulatory Changes
Customer Advocacy
Customer Satisfaction<\/p>

Customer Rights & Responsibilities<\/span><\/strong>\u00a0\u00a0<\/span><\/p>

Patient Rights and Responsibilities
Notice of Privacy Practices
Patient Contact and Communication Consent
Patient Concerns and Complaints<\/p>

Financial Obligation and Financial Assistance<\/span><\/strong><\/p>

Assignment of Benefits
Request for Financial Assistance<\/p>

Patient Safety and Education<\/strong><\/p>

Acknowledgement of Welcome Packet Information<\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t\t\t

To ensure the finest care possible, as a Patient receiving our Pharmacy services, you should understand your role, rights and responsibilities involved in your own plan of care.
<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

ABOUT JTJ MEDICAL SUPPLY, INC.\n\n

MAIL-MEDS CLINICAL PHARMACY AT A GLANCE\n\n

Mission Statement<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

JTJ Medical Supply, Inc.\u2019s mission is to be the industry leader in improving medication adherence for persons with chronic illnesses who are prescribed multiple medications. In a healthcare industry focused on improved outcomes to reduce costs, medication adherence is and will continue to be a key factor in meeting these goals. JTJ Medical Supply, Inc. utilizes exciting innovative technologies that will improve medication adherence for customers who have confusing and complicated drug regimens. Our proven and focused approach to medication adherence should be an integral part of any managed care or disease management initiative striving to improve patient medication adherence and persistence rates resulting in improved patient health and quality of life.<\/p>

JTJ Medical Supply, Inc.\u2019s vision is the manageability of complex pharmaceutical regimes that promotes the safe, effective and consistent use of medication tailored to all people\u2019s unique health and wellness needs.<\/p>

Notice of Nondiscrimination<\/span><\/strong><\/p>

JTJ Medical Supply, Inc. DBA Mail-Meds Clinical Pharmacy does not discriminate on the basis of race, color, religion (creed), gender, gender expression or identity, age, national origin (ancestry), disability, marital status, sexual orientation, military obligation, veteran status or any other trait protected under federal, state or local law, in any of its activities or services. These activities include, but are not limited to, hiring and firing of staff, choice of interns and vendors, and provision of services. We are committed to providing an inclusive and welcoming setting for all members of our staff, customers, interns, vendors, consultants and business partners.<\/p>

Hours of Operations<\/span><\/strong><\/p>

Our\u00a0business hours<\/span><\/strong>\u00a0are as follows:
Monday \u2013 Friday: 9:00am \u2013 5:30pm EST
Saturday: Closed
Sunday: Closed<\/p>

Holidays:<\/strong><\/p>

New Year\u2019s Day (January 1st)
Martin Luther King Day (Third Monday in January)
Good Friday
Memorial Day (The last Monday in May)
Independence Day (July 4th)
Labor Day (The first Monday in September)
Thanksgiving Day (The fourth Thursday in November)
Friday after Thanksgiving (The fourth Friday in November)
Christmas Day (December 25th)<\/p>

Local Phone Number:<\/span>\u00a0(239) 939-9226<\/p>

Toll Free Number:<\/span><\/strong> (800) 939-2022<\/p>

\u2022\u00a0 Dial by name company directory, press 2<\/strong>
<\/span>\u2022\u00a0 Customer Care including questions about your order, press 3<\/strong>
<\/span>\u2022 \u00a0Billing or account questions, press 4<\/span><\/strong><\/p>

Fax Number:<\/span><\/strong>\u00a0<\/span>(855) 523-0910<\/p>

Website:<\/span><\/strong>\u00a0www.mailmeds.com<\/p>

Our Locations<\/span><\/strong><\/p>

Mail-Meds Clinical Pharmacy<\/strong>
2692 Oak Ridge Court
Ft. Myers, Florida 33901
(800) 939-2022 Toll Free
(239) 939-9226 Local
Open Monday \u2013 Friday 9:00 AM \u2013 5:30 PM
Closed on Saturdays and Sundays<\/p>

Mail-Meds Clinical Pharmacy
3251 3rd Ave. N, Suite 125
St. Petersburg, Florida 33713
(800) 939-2022 Toll Free
(727) 440-8038 Local
Open Monday \u2013 Friday 9:00 AM \u2013 5:30 PM
Closed on Saturdays and Sundays<\/p>

Mail-Meds Clinical Pharmacy<\/strong>
2200 South Monroe St.
Tallahassee, Florida 32301
(800) 939-2022 Toll Free
(850) 895-1933 Local
Open Monday \u2013 Friday 9:00 AM \u2013 5:30 PM
Closed on Saturdays and Sundays<\/p>

Mail-Meds Clinical Pharmacy<\/strong>
1435 Dunn Ave., Suite #102
Daytona Beach, Florida 32114
(800) 939-2022 Toll Free
(386) 675-1035 Local
Open Monday \u2013 Thursday 8:00 AM \u2013 6:00 PM
Closed on Fridays, Saturdays and Sundays<\/p>

Mail-Meds Clinical Pharmacy<\/strong>
1301 West Colonial Dr.
Orlando, Florida 32804
(800) 939-2022 Toll Free
(407) 768-1281 Local
Open Monday \u2013 Thursday 8:30 AM \u2013 5:30 PM
Friday 8:30 AM \u2013 12:30 PM
Closed on Saturdays and Sundays<\/p>

Mail-Meds Clinical Pharmacy<\/strong>
1301 West Colonial Dr.
Orlando, Florida 32804
(800) 939-2022 Toll Free
(407) 768-1281 Local
Open Monday \u2013 Friday 9:00 AM \u2013 5:30 PM
Closed on Saturdays and Sundays<\/p>

VIRGINIA<\/strong>
Mail-Meds Clinical Pharmacy<\/strong>
1001 Monticello Ave, Suite 100
Norfolk, VA 23510
(800) 939-2022 Toll Free
(757) 998-8221 Local
Open Monday \u2013 Friday 8:30 AM \u2013 5:30 PM
Closed on Saturdays and Sundays<\/p>

SOUTH CAROLINA<\/strong>
Mail-Meds Clinical Pharmacy<\/strong>
1911 Hampton St
Columbia, SC 29201
(800) 939-2022 Toll Free
(803) 250-5520 Local
Open Monday \u2013Thursday 8:30 AM \u2013 5:30 PM
Friday 8:30 AM \u2013 12:30 PM
Closed on Saturdays and Sundays<\/p>

After-Hours Services<\/strong><\/p>

Staff is available 24\/7\/365 by calling our toll-free phone number. Our answering service will answer all Mail-Meds Clinical Pharmacy telephone calls after normal business hours. You may leave a message with the answering service and have your call returned by a staff member the next business day. Should your after-hours call need our fast attention you may ask to speak with a pharmacist who will return your call within 30 minutes.<\/p>

Emergency Preparedness Plan<\/strong><\/p>

JTJ Medical Supply, Inc. DBA Mail-Meds Clinical Pharmacy have full emergency preparedness plan in case a disaster occurs. Disasters may include fire, flood, hurricanes, tornadoes and community evacuations. We will contact you to assess your medication needs as we track impending storm. Our primary goal is to continue to service your prescription and health care needs. Please contact us about any medications you may need when there is a threat of disaster or inclement weather in your area so that you have enough medication to sustain you.<\/p>

\u00a0If a disaster occurs, follow instructions from the civil leaders in your area. Mail-Meds Clinical Pharmacy will utilize every resource available to continue to service you. However, there may be circumstances where Mail-Meds Clinical Pharmacy cannot meet your needs due to the scope of the disaster. In that case, you must utilize the resources of your local area.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

WHAT TO EXPECT FROM MAIL-MEDS CLINICAL PHARMACY<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

We recognize that managing a chronic disease or serious illness can feel overwhelming at times. We are here for you. At Mail-Meds Clinical Pharmacy, our caring staff is dedicated to working with you, your doctors and nurses, and family and friends as a member of your health care team. You are our primary purpose.\u00a0You can expect:<\/span><\/p>

\u2022 \u00a0Personalized patient care:<\/strong><\/span>\u00a0<\/strong>Our staff members will work with you to discuss your treatment plan, and we will answer any questions or concerns you may have. We are here for you 24\/7.<\/p>

\u2022\u00a0 Collaboration with your Doctor: <\/strong><\/span>We will always keep the open lines of communication with you, your doctors and caregivers. We are here to make sure any worries or problems you may be having with your treatment are addressed as quickly as possible with your doctor.<\/p>

\u2022\u00a0 Regular follow-up: <\/strong><\/span>Receiving your medications and medical supplies quickly and easily is paramount to us. We will stay in contact with you and will be your healthcare advocate.<\/p>

\u2022\u00a0 Benefits:<\/strong><\/span>\u00a0Treatment can be costly, and we will help you navigate the complex healthcare system to explore every choice available to you. Our relationships with insurers, foundations and knowledge of co-pay assistance programs will help you with information and explanations of your drug and medical benefits. Your care and health is our highest priority.<\/p>

\u2022\u00a0 Delivery:<\/strong><\/span>\u00a0<\/strong> We offer fast and convenient delivery to your home, workplace, or the location you prefer. A staff member will contact you five to seven days before your refill due date to coordinate the medication you need, update your medical and insurance records, and to set up and confirm a delivery date and address.<\/p>

\u2022\u00a0 24\/7 Support:<\/strong><\/span>\u00a0 You can contact our pharmacy staff 24 hours a day, 7 days a week. We are always here to answer any questions or concerns you may have.<\/p>

Here at Mail-Meds Clinical Pharmacy and Bliss Rx, we encourage you to call our team if:<\/span><\/p>

\u2022\u00a0 You have questions about medication procedures.
\u2022\u00a0 You need to order supplies or a medication refill.
\u2022\u00a0 You are having problems with supplies, medications, or experience a change in your condition.
\u2022\u00a0 You go to the hospital, your condition worsens, or your therapy is interrupted for any reason.
\u2022\u00a0 There is a change in your prescription and\/or supply needs.
\u2022\u00a0 Your therapy ends.
\u2022\u00a0 Anything that causes your concern for safety.
\u2022\u00a0 You have a billing question or need to provide us with a new address, contact number or health plan information.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

DEFINING SPECIALTY PHARMACY<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

Specialty pharmacy is defined as the service created to manage the handling and service needs of specialty drugs, including dispensing, delivery, financial assistance with out-of-pocket expenses and other services specific to patients with rare and\/or chronic diseases.<\/p>

Specialty pharmacies are designed to improve health outcomes for patients with complex health conditions, by having regular and ongoing contact with healthcare specialists. Health care specialists employed by specialty pharmacies offer patient education, help ensure correct medication use, promote adherence, and try to avoid unnecessary costs. Specialty pharmacies are support systems work together and share information with other members of a patient\u2019s healthcare team. Specialty pharmacies help patients find resources that offer financial assistance with out-of-pocket expenses.<\/p>

The areas of specialty medication provided by Mail-Meds Clinical Pharmacy include:<\/p>

\u2022\u00a0 Hepatitis C
\u2022\u00a0 HIV\/AIDS<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

PATIENT MANAGEMENT PROGRAM<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

The services and care offered by Mail-Meds Clinical Pharmacy goes beyond having prescriptions filled. Mail-Meds Clinical Pharmacy offer a Patient Management Program that assists our patients to achieve the best outcomes from their medication therapies while helping both the payer and provider manage cost.

Mail-Meds Clinical Pharmacy offer a person first approach with services that have been shown to help improve health outcomes. These services are offered under the direction of senior clinical pharmacists and trained competent staff and offer the highest quality of care possible.

Mail-Meds Clinical Pharmacy trained clinicians help each patient with their individual and unique needs, offering free consultations while communicating with other members of your healthcare team. The Mail-Meds Clinical Pharmacy pharmacists who have oversight of the Patient Management Program hold a doctorate degree in pharmacy.<\/p>

Our Patient Management Program includes several components:<\/p>

\u2022\u00a0 Medication Adherence Program
\u2022\u00a0 Medication Therapy
\u2022\u00a0 Management (MTM)
\u2022\u00a0 Drug Utilization Review (DUR)
\u2022\u00a0 Patient Education
\u2022\u00a0 Coordination of Care and Services
\u2022\u00a0 Ongoing Performance Quality Improvement Program<\/p>

At the time of your referral or first doctor\u2019s order, our clinical pharmacist will assess your current health status as it relates to the medication you are being prescribed. Based on their finding, our clinical pharmacist will develop with you an individualized care management plan based on proven medical standards. This care management plan will have steps and goals that will address your strengths and needs.

Our staff will conduct ongoing reassessments with you. These assessments look for needed changes in your service, treatment or care and your care management plan will be updated as needed. Reassessments will be conducted at least every three (3) months.

Our Patient Management Program is based on evidence based standards of care and best practice to improve patient health outcomes. Clinical services provided include:<\/p>

\u2022\u00a0 Personalized health history and medication review
\u2022\u00a0 Prior authorizations for medical necessity
\u2022\u00a0 Comprehensive assessment and reassessments
\u2022\u00a0 Consultations based on the patient\u2019s needs and request
\u2022\u00a0 Maintenance of current medication profile
\u2022\u00a0 Quantity dose review
\u2022\u00a0 Drug Utilization Review (DUR)
\u2022\u00a0 Co-pay assistance program
\u2022\u00a0 Coordination of Care Referrals<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

Medication Adherence Program<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

Mail-Meds Clinical Pharmacy are the industry leader in Adherence Pharmacy. Adherence Pharmacy is defined as the clinical practice of improving medication adherence for patients that are prescribed complex medication regimens. Pharmacies that practice Adherence Pharmacy offer patients with a complete pharmacy care program that includes patient education, refill reminders and adherence tools inclusive of pre-organized medication packaging and dose time reminders. In more complex cases, technologies can be used to provide patients with dose prompts and administration reminders. These services also offer a caregiver with the ability to remotely monitor medication adherence progress.<\/p>

Mail-Meds Clinical Pharmacy have brought together these state-of-the-art technologies with personalized patient care to develop our Six-Step Adherence Pharmacy Program.<\/p>

This program includes:<\/p>

Step 1:<\/span><\/strong>\u00a0Telephonic or In-Home Enrollment
Step 2:<\/span><\/strong>\u00a0Medication Therapy Review
Step 3:<\/span><\/strong>\u00a0Dispensing Date Alignment
Step 4:<\/span>\u00a0<\/strong>Adherence Tools
Step 5:<\/span><\/strong>\u00a0Product Training & Delivery
Step 6:<\/span><\/strong>\u00a0Adherence Monitoring & Refill Services<\/p>

Medication adherence is crucial to the health outcomes of each patient\u2019s therapy program for a chronic disease. Poor medication adherence increases the risk of poor health outcomes and has a significant negative economic impact on healthcare resources and a person\u2019s quality of life.<\/p>

The goal of Mail-Meds Clinical Pharmacy is to maintain the highest standards for patient medication adherence. Our Adherence Pharmacy program quickly identifies patients who don\u2019t adhere to their prescribed medication therapy. When a patient\u2019s non-adherence is identified, Mail-Meds Clinical Pharmacy work with the patient, their healthcare team and available resources to implement interventions that will improve a patient\u2019s medication adherence. Mail-Meds Clinical Pharmacy also uses data that is collected and checked for patient medication adherence by one of two methods:<\/p>

\u2022\u00a0 Medication Possession Ratio or
\u2022\u00a0 Proportion Days Covered<\/p>

The results are reviewed at least quarterly by the Mail-Meds Clinical Pharmacy Continuous Quality Improvement Committee (CQIC).<\/p>

Mail-Meds Clinical Pharmacy provides medication adherence services that not only improve the coordination and communication of health services between providers and the patient but also empowers our patients to manage their difficult medication regimen while improving their health and quality of life<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

Medication Therapy Management (MTM)<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

Medication Therapy Management, also referred to as MTM, is medical care provided by pharmacists whose aim is to optimize drug therapy and improve health outcomes for patients.<\/p>

You may be eligible to get these services, at no cost to you, through the Medication Therapy Management (MTM) program provided by Mail-Meds Clinical Pharmacy if these apply:<\/p>

\u2022\u00a0 You’re in a Medicare Part-D drug plan
\u2022\u00a0 You’re taking medications for 2 or more medical conditions<\/p>

This program helps you and your doctor make sure that your medications are working to improve your health. A Mail-Meds Clinical Pharmacy pharmacist will contact you to conduct a Comprehensive Medication Review (CMR) of all your medications and talk with you about:<\/p>

\u2022\u00a0 How well your medications are working
\u2022\u00a0 Possible medication side effects
\u2022\u00a0 If there might be interactions between the drugs you’re taking and
\u2022\u00a0 If your copay costs can be lowered<\/p>

You\u2019ll receive a written summary of this discussion, including an action plan that recommends what you can do to make the best use of your medications. You\u2019ll also get a Personal Medication List (PML) that will include all the medications you\u2019re taking and why you take them.<\/p>

It\u2019s a good idea to schedule your medication review before your yearly wellness visit, so you can talk to your doctor about your action plan and medication list. Bring your action plan and medication list with you to your visit or anytime you talk with your doctors, pharmacists, and other health care providers. Also, take your medication list with you if you go to the hospital.<\/p>

Drug Utilization Review (DUR)<\/strong><\/p>

Mail-Meds Clinical Pharmacy and Bliss Rx have a Drug Utilization Review (DUR) program that is designed to check the appropriate and effective use of medications which, in turn, promotes patient safety and care and can reduce drug cost to the patient, payer and the provider.<\/p>

Drug Utilization Review is an ongoing process. Our pharmacy software compares varying drug use standards during pharmacy claims processing to find potential drug therapy problems. Problem areas looked at include:<\/p>

\u2022\u00a0 Drug-allergy concerns
\u2022\u00a0 Drug-disease concerns
\u2022\u00a0 Drug-drug concerns
\u2022\u00a0 Drug duplications
\u2022\u00a0 Incorrect dosage or duration of therapy
\u2022\u00a0 Overutilization
\u2022\u00a0 Underutilization
\u2022\u00a0 Clinical abuse or misuse<\/p>

Our pharmacy software alerts our pharmacist to possible problems. Our pharmacist will then look at each area, measure, and track DURs to prevent the use of unnecessary or inappropriate drug therapy, prevent adverse drug reactions and improve overall drug effectiveness.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

Communication and Patient Education<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

At Mail-Meds Clinical Pharmacy relationship building is central to our work with you. We believe communication is a requirement of that process.\u00a0 Without exception, a patient\u2019s experience is influenced by how care is provided. Our staff are trained to use of non-medical jargon, and our communication is tailored to each individual patient\u2019s age, primary language and ability to understand the treatment, teaching and concerns related to their health care. Through communication with our team you will:<\/p>

\u2022\u00a0 Be reassured
\u2022\u00a0 Be put at ease
\u2022\u00a0 Be taken seriously
\u2022\u00a0 Understand your illness more fully
\u2022\u00a0 Voice your fears and concerns
\u2022\u00a0 Feel empowered
\u2022\u00a0 Be motivated to follow your medication regimen
\u2022\u00a0 Be given time and treated with respect<\/p>

Effective communication is more than delivering quality, person-centered care. It is also the vehicle through which patient\u2019s participation in care is improved.<\/p>

We are aware a patient’s language, cultural, religious practices, social\/economic, literacy level and cognitive or physical difficulties may affect communication. Mail-Meds Clinical Pharmacy staff is trained to be sensitive to literacy, cultural and language needs of each patient and brings these together in individual patient care plans.<\/p>

When communication barriers exist such as non-English speaking patients, visual or hearing concerns, Mail-Meds Clinical Pharmacy offers the use of special devices, interpreters, literacy appropriate materials, visual aids, or other communication aids. We have onsite staff available who speak fluent Spanish, Hattian Creole, Russian and Vietnamese. We offer translation services in over 115 languages and can provide medication education resources in your preferred language. Our website (www.mailmeds.com) can be translated in 100+ languages by selecting the \u201cSelect Language\u201d drop down box. For our patients with visual impairments we offer labels and medication education materials in braille, large print and talking\/audible (voice enabled) labels.<\/p>

Our Health Benefits Coordinators assess the educational needs of each patient and care giver at the time of referral. An individual Care Plan is developed to include training and education based on patient and caregiver needs and choices. Any barriers or limitations are taken into consideration. If your needs or preferences change at any time let us know. We will do all we can to get you oral and written educational materials based on your needs and preferences.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

Coordination of Care and Services<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

Mail-Meds Clinical Pharmacy will coordinate managing medication problems or issues that are identified through any means. When necessary, we will consult the patient, the payer and\/or the prescriber. Also, we may coordinate for the provision of care, treatment and services whether the service is provided by internal or external resources, which may be contracted for or referred to the appropriate resource. Service providers contracted by Mail-Meds Clinical Pharmacy are given information that will enable them to provide appropriate care and\/or services. Information provided to contracted providers adheres to HIPAA regulations.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

Program Benefits and Limitations<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

As a Specialty Pharmacy, Mail-Meds Clinical Pharmcy offer consistent patient care management, specialized clinical staff that offer patient support and focus on patient adherence to therapy. Our program promotes enhanced patient understanding, increased adherence to medication regimens and detection and prevention of adverse drug events and patterns of over-use and under-use of prescription drugs. Mail-Meds Clinical Pharmacy have developed proactive medication adherence services inclusive of prescription refill monitoring and refill management. Prescription refill reminder calls are provided to patients before their refill date. Our pharmacist and\/or support staff will contact the patient if an issue is identified pertaining to obtaining your prescription.<\/p>

By taking part in our Patient Management Program patients can increase medication adherence resulting in improved health. By maintaining medication adherence, patients may reduce consequences of disease progression, experience fewer hospital visits and experience improved well-being. Greater knowledge, tools and clinical follow-up empowers our patients to manage their difficult medication regimen while improving their health and quality of life.<\/p>

The Mail-Meds Clinical Pharmacy Patient Management Program cannot assist you in achieving these benefits alone.\u00a0 The program may have limits without your active involvement and participation. Patient non-adherence to their prescribed medications, not following medication directions properly, unwillingness to provide updates on your health status and\/or limited communication with the pharmacy can take away from the benefits of the program. Patient Management services are not a substitute for and do not replace doctor appointments.<\/p>

During the enrollment process our Health Benefits Coordinators or Pharmacy Manager reviewed the program with you and advised you of automatic enrollment in our patient management services.<\/p>

\u2022\u00a0 These services are provided to you at no cost, and your participation is completely voluntary. You may contact our Health Benefits Coordinators any time about our Patient Management Program by calling at (800) 939-2022, option 4 and they will assist you or connect you directly with a clinical pharmacist or if you:<\/p>

\u2022\u00a0 Wish to opt out of our Patient Management Program being aware you can re-enroll at any time.
Chose to not to be enrolled but have changed your mind and wish to enroll now.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

CUSTOMER INFORMATION<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

How to Place an Order<\/strong><\/p>

Mail-Meds Clinical Pharmacy will work with your prescriber when you need a new prescription drug. In many cases, your prescriber will electronically send or fax us a new copy of your prescription. However, you may also call one of our Health Benefits Coordinators at (800) 939-2022 Option 4 and ask that we contact your doctor to obtain a new prescription. We will ensure your new medication is available within 48 hours of receiving your order. If your medication is a stat order (you must receive the prescribed drug immediately) our pharmacists will work with you and your prescriber to get it out to you the same day when possible.\u00a0 A prescription for a controlled substance listed in Schedule II may be dispensed only upon the receipt of a written prescription from a licensed practitioner, except that in an emergency, as defined by regulation of the Florida Department of Health, such controlled substance may be dispensed upon a licensed doctor calling our pharmacist with a verbal prescription, which is limited to a 72-hour supply. A prescription for a controlled substance listed in Schedule II may not be refilled without a new hardcopy prescription on file at our pharmacy. Mail-Meds Clinical Pharmacy\u2019s pharmacy software complies with all DEA requirements for accepting electronic prescriptions for controlled substances.<\/p>

Ordering Refills<\/strong><\/p>

Prescription refills are easy with Mail-Meds Clinical Pharmacy. Our Refill Coordinator coordinates the refills with your prescriber so there is no lapse in your drug regimen. Prior to each refill, a member of our staff will contact you to assess any current needs and review your adherence to your prescribed treatment, side effects, changes in your medical condition, changes in your drug regimen and any issues with benefits limits that we can assist you with.<\/p>

If you need a refill before your scheduled refill time, please contact the staff at Mail-Meds Clinical Pharmacy for assistance.<\/p>

For prescription refills, a Mail-Meds Clinical Pharmacy staff member will contact you five (5) to seven (7) days before your scheduled refill due date to coordinate the following;<\/p>

1.<\/span>\u00a0<\/strong>Update your patient record
2.<\/span>\u00a0<\/strong>Set up a delivery date
3.<\/span>\u00a0<\/strong>Confirm the address where your delivery can be accepted and a receipt signed unless you have requested a signature waiver
4.<\/span>\u00a0<\/strong>Collection of your co-payment (if applicable)<\/p>

If we are unable to reach you to coordinate your refill, please call our Health Benefits Coordinators at (800) 939-2022 option 4.<\/p>

Order Delays<\/strong><\/p>

On occasion your insurance plan may reject a claim which may delay your order. Reasons for these rejections may include:<\/p>

\u2022\u00a0 Refill-Too-Soon:<\/strong><\/span>\u00a0Your insurance plan will usually allow a refill on a prescription to 5-7 before you are out of medication for a 30-day supply. If a refill is requested early the insurance plan will send the pharmacy a message of \u201cRefill-Too-Soon\u201d. Some insurance companies allow pharmacy staff to enter an override code, indicating that there was a need for either a vacation exception, emergency exception due to pending weather event\/natural disaster, or dosage increase exception.

\u2022\u00a0 Prior Authorization:<\/strong><\/span>\u00a0Your Insurance plan needs extra information about why you need the prescribed medication to determine if they will approve it or suggest your doctor order a different medication.

\u2022\u00a0 Step Therapy:<\/span>\u00a0<\/span><\/strong>Your Insurance plan may like you to try a medication that is different then the one your doctor ordered because the plan has seen it worked well in some cases for other patients and could be more affordable.\u00a0 Your doctor may already know the alternative medication was available, but believes you will respond best to what they have already prescribed. Your insurance plan will needs more information to make a decision.

\u2022\u00a0 Quantity Limit:<\/span>\u00a0<\/strong>This is when you have been taking the recommended dosage of a medication for a while, but you have acquired a slight tolerance to it. Your doctor feels you could benefit from keeping the same exact medication, but you need more than the recommended dosage to maintain consistent results. The insurance plan needs to understand this in order to approve coverage.<\/p>

A pharmacy Health Benefits Coordinator and\/or Prior Authorization Specialist and our Clinical Pharmacists will work with your doctor and insurance plan to address these issues. In most cases these issue can be resolved with the insurance plan in a day or two but could take longer and result in delays with your order. We will contact you about any issues. We will let you know if your order will be delayed, the steps we are taking to get this resolved and how long the process may take.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

Refills for Delivery to the Healthcare Provider<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

Mail-Meds Clinical Pharmacy will coordinate office-administrated prescriptions five (5) to seven (7) days prior their refill due date. We will fax or e-scribe a refill request to your doctor\u2019s office requesting a new prescription if there are no refills remaining. If your doctor requires that you make an appointment with them before issuing a refill prescription we will contact you.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

Order Status and Deliveries<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

Mail-Meds Clinical Pharmacy will deliver all refrigerated medications by overnight delivery.\u00a0 All non-refrigerated medications will be deliver within three (3) days of your next start date (unless the medication is needed right away). All deliveries require an adult\u2019s signature (18 years or older) for receipt unless you have requested a signature waiver.<\/p>

Mail-Meds Clinical Pharmacy pack and deliver all medications to maintain constant manufacturer temperature guidelines in accordance with FDA safety Guidelines and Cold Chain Supply requirements. Our packaging is tested to be sure it keeps your medication at the required temperature and it does not get too hot or too cold. Most injectable medications require refrigeration so it is important that you open your medication when you receive it and store it properly until use.<\/p>

If you have any question about your order status please contact a pharmacy Customer Care Coordinator at (800) 939-2022 option 3. A pharmacy Customer Care Coordinator is there to address any delivery question you might have and contact you if there is delay in the delivery processes.<\/p>

If your delivery appears to be damaged, the security tape has been tampered with or your medication is outside of the appropriate temperature range, please call us immediately.<\/p>

Guidelines on delivery of your medications include:<\/p>

\u2022\u00a0 We will schedule a delivery to you at regular intervals.
\u2022\u00a0 We encourage you to keep track of your supplies and contact our pharmacy when your supplies are low. Make sure that you have enough time for supplies to be delivered.
\u2022\u00a0 If you are going out of town please call us with an alternate delivery address.
\u2022\u00a0 Be sure you have received your complete delivery and that everything is in good condition.
\u2022\u00a0 Please inform our delivery representative at the time of the delivery if the supplies are damaged, incorrect or incomplete. The delivery representative can return the damaged supplies and we will arrange for replacements.
\u2022\u00a0 If you receive your delivery from one of our contracted courier services companies and your order is damaged or missing, please call our Customer Care Coordinator as soon as possible at (800) 939-2022 option 3.
\u2022\u00a0 Sign and date the delivery receipt after making sure your order is correct and return to us in the pre-paid postage envelope included with your delivered prescriptions.
\u2022\u00a0 Our delivery personnel are not CPR certified. If an emergency occurs they are instructed to call 911.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

Emergencies and Deliveries<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

In the event of a patient emergency, Mail-Meds Clinical Pharmacy will make accommodations for same-day delivery when possible. Should there be an emergency or natural disaster in your area that could prevent the timely delivery of your medication, please contact us and we will work with you to assist in getting your order to you.<\/p>

Mail-Meds Clinical Pharmacy have four locations. In the event of a natural disaster or emergency in one of our location, our other three locations will ensure your medications are filled and you do not experience service interruptions.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

Generic Medication Substitution<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

Whenever possible, the pharmacy will substitute a lower-cost generic medication for a brand-name medication unless you or your doctor has asked for a specific brand-name drug.<\/p>

Drug substitutions may occur if your insurance company prefers a specific brand or generic to be dispensed or to reduce your co-pay. Many states require the generic to be dispensed if the prescribing doctor does not specifically require the brand name medication. If a substitution needs to be made a member of our staff will contact you prior to your delivery to inform you of the substitution. Substitution may occur for new prescriptions, refills, therapy changes and prescription transfers.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

Medications Not Available at Mail-Meds Clinical Pharmacy<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

Some drug companies and\/or insurance plans limit who can dispense your medication. This is called Limited distribution drugs (LDDs). These are used to treat conditions affecting only a small number of patients with specific requirements.\u00a0 Your insurance plan may also require you to use a specific pharmacy as part of your plan benefits for some medications. On the rare occasion, if you cannot obtain a medication at Mail-Meds Clinical Pharmacy, our Health Benefits Coordinator will work with your insurance plan, you and another pharmacy to ensure you receive your prescribed drug. Mail-Meds Clinical Pharmacy is also part of a specialty pharmacy network who assists us with identifying a pharmacy that can dispense this medication for you so you will not have to worry about how to get it filled. We are here to help.<\/p>

If you want your prescription transferred to another pharmacy, please contact your Health Benefits Coordinator and we will transfer your prescription on your behalf.<\/p>

Adverse Drug Reactions<\/span><\/strong><\/p>

Mail-Meds Clinical Pharmacy instruct patients and caregivers how to identify harmful reactions that may occur with their medications and to report them to Mail-Meds Clinical Pharmacy as soon as possible.<\/p>

If you suspect a reaction\/side effect related to a medication, please contact a pharmacist at Mail-Meds Clinical Pharmacy and please contact your doctor.<\/strong><\/span><\/p>

Definition<\/strong><\/p>

An adverse drug reaction is something bad that happens, bad reaction, unexpected or unwanted effects from taking a medication (National Center for Health Marketing: Plain Language Thesaurus for Health Communications).<\/p>

Medical Emergency<\/strong><\/p>

In the case of medical emergency please call 911 or your local emergency service for immediate assistance.<\/p>

Upon notifying 911 or your local emergency service please contact Mail-Meds Clinical Pharmacy and your doctor when you are safe and no longer in immediate danger.<\/p>

Controlled Substances<\/strong><\/p>

Mail-Meds Clinical Pharmacy handle and store controlled substances according to state and federal laws and regulations to prevent diversion and abuse. A prescription for a controlled substance listed in Schedule II may be dispensed only upon the receipt of a written prescription of a physician. A prescription for a controlled substance listed in Schedule II may not be refilled without a new hardcopy prescription on file at our pharmacy.<\/p>

Drug Recalls<\/span><\/strong><\/p>

A drug recall occurs when a prescription or over-the-counter medicine is removed from the market because it is found to be either defective or potentially harmful. Mail-Meds Clinical Pharmacy follow drug recall guidelines created by the FDA, drug manufacturers, distributors, and\/or state and federal regulatory agencies. We will contact you and your doctor if there is a FDA Class I recall. For lesser recalls, the pharmacy will contact your prescriber or your health plan accordingly. A pharmacist will work with your doctor to recommend an alternative medicine to use during the recall and discuss the alternative medication with you.<\/p>

If the pharmacy contacts you about a medicine you are taking that has been recalled:<\/p>

\u2022\u00a0 Stop taking it.
\u2022\u00a0 Discard it safely or return it to the pharmacy.<\/p>

Most drugs can be safely disposed of in the trash after mixing it with a substance like coffee grounds or kitty litter and then sealing it in a container or plastic bag. If you have kids in the house, make sure you dispose of the medicine in a way that they cannot get to it. Only in rare circumstances should medicine be flushed down the toilet. See instructions for disposal on the medicine\u2019s label or the package’s patient information.<\/p>

If you have taken a drug that has been recalled and have any unusual symptoms that you suspect may be linked to the medicine, call your doctor immediately.<\/p>

To find out more about drug recalls, visit the FDA web site. You can sign up to receive alerts on product recalls and market withdrawals.<\/p>

Returned Goods and\/or Supplies<\/strong><\/p>

State Board of Pharmacy regulations forbids the resale or reuse of a prescription item that has been dispensed. Once supplies have been delivered to your home, the pharmacy cannot reuse them. As a result, no credit can be issued for any unused or excess products.<\/p>

Regulatory Changes<\/strong><\/p>

If state or federal regulations change the way we provide your care, Mail-Meds Clinical Pharmacy will notify you of the change and our plan of care.<\/p>

Patient Bill of Rights and Responsibilities<\/strong><\/p>

The Patient Bill of Rights and Responsibilities, found on page 18, outlines the rights that you, the patient, have when receiving medications and services from Mail-Meds Clinical Pharmacy.<\/p>

Notice of Privacy Practices<\/span><\/strong><\/p>

Our top priority is protecting the privacy and security of your health information. The Notice of Privacy Practices, found on page 21, describes our privacy practices in relation to your protected health information. The notice also describes how your health information may be used and disclosed and how you can access this information.<\/p>

Pharmacist Assistance<\/span><\/strong><\/p>

Our pharmacists are specially trained on the medication you are taking and they are here to answer your questions about your care plan. Please call a pharmacist at (800) 939-2022 option 5 if you have any questions about your treatment. In the case of an emergency, call 911. A licensed pharmacist is available 24 hours a day, 7 days a week, for any urgent needs relating to your medication. Please leave your contact information with our after-hours answering service, and the on-call pharmacist will promptly return your call.<\/p>

Consumer Advocacy<\/span><\/strong><\/p>

To learn more about consumer protection and advocacy services, please visit the National Association of Consumer Advocates\u00a0http:\/\/www.consumeradvocates.org\/for-consumers<\/a>\u00a0 and the Florida Department Consumer Services at\u00a0http:\/\/www.freshfromflorida.com\/Divisions-Offices\/Consumer-Services<\/a>.<\/p>

If you are feeling distressed prevention and crisis resources are available to you free.\u00a0 Lifeline provides 24\/7 free and confidential support by calling 1-800-273.8255. Prefer to text? Crisis Text Line serves anyone, in any type of crisis, providing access to free, 24\/7 support and information via text. Text HOME to 741741 from anywhere in the USA, anytime, about any type of crisis. A live, trained Crisis Counselor receives the text and responds quickly. The volunteer Crisis Counselor will help you move from a hot moment to a cool moment. Crisis Text Line is free, but messaging rates apply if you\u2019re NOT on Verizon, Sprint, AT&T, or T-Mobile.<\/p>

Our staff members are obligated to report known or suspected cases of patient abuse, neglect or exploitation. When required by law and regulation, these cases must be reported to the appropriate State agency. If you have concerns about abuse, neglect or exploitation and are in the State of Florida please call 1-800-96-ABUSE or your local State agency for Children and Families affairs.<\/p>

Customer Satisfaction<\/span><\/strong><\/p>

We are here to serve you. We would like to continue serving you in a manner in which you would like to be served. In order for us to do that, we need your input. We value your opinion and welcome any suggestions you may have to improve our services. Please take a moment and tell us how we are doing. Complete the survey on the following page or online at\u00a0https:\/\/www.surveymonkey.com\/r\/QFRMD62<\/a><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

CUSTOMER RIGHTS & RESPONSIBILITIES
\n\n
JTJ MEDICAL SUPPLY, INC., DBA MAIL-MEDS CLINICAL PHARMACY

PATIENT BILL of RIGHTS and RESPONSIBILITIES<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

To ensure the finest care possible, as a Patient receiving our pharmacy services, you should understand your role, rights and responsibilities involved in your own Plan of Care.<\/span><\/p>

Patient Rights<\/span><\/strong><\/p>

\u2022\u00a0 To select those who provide you with pharmacy services.
<\/span>\u2022\u00a0 To receive the appropriate or prescribed services in a professional manner without discrimination relative to your age, sex, race, religion, ethnic origin, sexual preference or physical or mental handicap.
<\/span>\u2022\u00a0 To be treated with friendliness, courtesy and respect by each and every individual representing our pharmacy, who provided treatment or services for you and be free from neglect or abuse, be it physical or mental.
\u2022\u00a0 <\/span>To assist in the development and preparation of your Plan of Care that is designed to satisfy, as best as possible, your current needs, including management of pain.
<\/span>\u2022\u00a0 To be provided with adequate information from which you can give your informed consent for commencement of services, the continuation of services, the transfer of services to another health care provider, or the termination of services.
\u2022\u00a0 <\/span>To express concerns, grievances, or recommend modifications to our pharmacy in regard to services or care, without fear of discrimination or reprisal.
<\/span>\u2022\u00a0 To request and receive complete and up-to-date information relative to your condition, treatment, alternative treatments, risk of treatment or Plan of Care.
\u2022\u00a0 <\/span>To receive treatment and services within the scope of your plan of care, promptly and professionally, while being fully informed as to our pharmacy\u2019s policies, procedures and charges.
\u2022<\/span>To request and receive data regarding treatment, services, or costs thereof, privately and with confidentiality.
\u2022<\/span>To be given information as it relates to the uses and disclosure of your Plan of Care.
\u2022<\/span>To have your Plan of Care remain private and confidential, except as required and permitted by law.
\u2022\u00a0 <\/span>To receive instructions on handling a drug recall.
\u2022\u00a0 <\/span>To confidentiality and privacy of all information contained in the client\/patient record and of Protected Health Information (PHI); PHI will only be shared with the Patient Management Program in accordance with state and federal law.
<\/span>\u2022\u00a0 To receive information on how to access support from consumer advocates groups.
\u2022\u00a0 <\/span>To receive instructions on the safety disposal of drugs that are in compliance with state and federal laws and regulations.
\u2022\u00a0 <\/span>To know about philosophy and characteristics of the Patient Management Program.
\u2022\u00a0 <\/span>To have personal health information shared with the Patient Management Program only in accordance with state and federal law.
<\/span>\u2022\u00a0 The right to request the program\u2019s staff members name, including their job title, and to speak with a supervisor of the staff member if requested.
<\/span>\u2022\u00a0 The right to speak to a health professional.
<\/span>\u2022\u00a0 To receive information about the Patient Management Program.
<\/span>\u2022\u00a0 To receive administrative information regarding changes in or termination of the Patient Management Program.
<\/span>\u2022\u00a0 To decline participation, revoke consent or disenroll at any point in time.
\u2022\u00a0 <\/span>Be fully informed in advance about services to be provided, including the disciplines that furnish care and the frequency of visits, as well as any modifications to the Plan of Care.
\u2022\u00a0 <\/span>Be informed, both orally and in writing, in advance of care being provided, of the charges, including payment for service expected from third parties and any charges for which the client\/patient will be responsible.
\u2022\u00a0 <\/span>Receive information about the scope of services that the pharmacy will provide and specific limits on those services.
<\/span>\u2022\u00a0 Participate in the development and periodic revision of the Plan of Care.
\u2022\u00a0 <\/span>Refuse care or treatment after the consequences of refusing care or treatment are fully presented.
\u2022\u00a0 <\/span>Be informed of client\/patient rights under state law to formulate an Advanced Directive, if applicable.
\u2022\u00a0 <\/span>Have one’s property and person treated with respect, consideration, and recognition of client\/patient dignity and individuality.
<\/span>\u2022\u00a0 Be able to identify visiting personnel members through proper identification.
<\/span>\u2022\u00a0 Be free from mistreatment, neglect, or verbal, mental, sexual, and physical abuse, including injuries of unknown source, and misappropriation of client\/patient property.
<\/span>\u2022\u00a0 Voice complaints about services or care, lack of respect of property or recommend changes in policy, personnel, care or service without restraint, interference, coercion, discrimination, or reprisal.
\u2022\u00a0 <\/span>Have complaints about treatment or care that is (or fails to be) furnished, or lack of respect of property investigated.
<\/span>\u2022 Confidentiality and privacy of all information contained in the client\/patient record and of Protected Health Information (PHI).
\u2022\u00a0 <\/span>Be advised on agency’s policies and procedures regarding the disclosure of clinical records.
<\/span>\u2022\u00a0 Receive appropriate care without discrimination in accordance with physician orders, if applicable.
\u2022\u00a0 <\/span>Be informed of any financial benefits when referred to an organization.
\u2022\u00a0 <\/span>Be fully informed of one’s responsibilities.<\/span><\/p>

Patient Responsibilities<\/span><\/strong><\/p>

\u2022\u00a0 To provide accurate and complete information regarding your past and present medical history and contact information and any changes.
<\/span>\u2022\u00a0 To agree to a schedule of services and report any cancellation of scheduled appointments and\/or treatments.
<\/span>\u2022\u00a0 To participate in the development and updating of a Plan of Care.
\u2022\u00a0 <\/span>To communicate whether you clearly comprehend the course of treatment and Plan of Care.
\u2022\u00a0 <\/span>To comply with the plan of care and clinical instructions.
\u2022\u00a0 <\/span>To accept responsibility for your actions if refusing treatment from, or not complying with, the prescribed treatment and services.
<\/span>\u2022\u00a0 To respect the rights of pharmacy personnel.
\u2022\u00a0 <\/span>To notify your doctor and the pharmacy of any potential side effects and\/or complications.
<\/span>\u2022\u00a0 To notify the pharmacy via telephone when your medication supply is running low so a refill maybe delivered to you promptly.
\u2022\u00a0 <\/span>To submit any forms that are necessary to participate in the Patient Management Program to the extent required by law.
\u2022\u00a0 <\/span>To give accurate medical and contact information and to notify the Patient Management Program of changes in this information.
\u2022\u00a0 <\/span>To notify your treating doctor of their participation in the Patient Management Program, if applicable.
\u2022\u00a0 <\/span>To maintain any equipment provided by pharmacy, if applicable.<\/span><\/p>

Personnel honor the client\/patients\u2019 rights to:
<\/span><\/strong>
\u2022\u00a0 Have one’s property and person treated with respect, consideration, and recognition of client\/patient dignity and individuality.
\u2022\u00a0 <\/span>Be able to identify visiting personnel members through proper identification.
<\/span>\u2022\u00a0 Choose a health care provider, including choosing an attending physician (NA in this setting).
\u2022\u00a0 <\/span>Receive appropriate care without discrimination in accordance with physician’s orders.
\u2022\u00a0 <\/span>Be informed of any financial benefits when referred to an organization.
\u2022\u00a0 <\/span>Be fully informed of one’s responsibilities.<\/span><\/p>

If you have questions, concerns or issues that require assistance, please call (800) 939-2022 option 3 for Customer Care.\u00a0 Complaints will be forwarded to management and you will receive a response the next business day.<\/span><\/p>

Notice of Privacy Practices<\/span><\/p>

JTJ MEDICAL SUPPLY, INC
<\/span>Doing Business As
<\/span>MAIL-MEDS CLINICAL PHARMACY
<\/span>NOTICE OF PRIVACY PRACTICES<\/span><\/p>

\u00a0<\/p>

THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED\u00a0
<\/span>AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.<\/span><\/p>

\u00a0<\/p>

As part of the federal Health Insurance Portability and Accountability Act of 1996, known as HIPAA, JTJ Medical Supply, Inc. has created this Notice of Privacy Practices (Notice). This Notice describes JTJ Medical Supply, Inc.\u2019s privacy practices and the rights you, the individual, have as they relate to the privacy of your Protected Health Information (PHI). Your PHI is information about you, or that could be used to identify you, as it relates to your past and present physical and mental health care services. The HIPAA regulations require that JTJ Medical Supply, Inc. protect the privacy of your PHI that JTJ Medical Supply, Inc. has received or created.<\/span><\/p>

\u00a0<\/p>

JTJ Medical Supply, Inc. will abide by the terms presented within this Notice. For any uses or disclosures that are not listed below, JTJ Medical Supply, Inc. will obtain a written authorization from you for that use or disclosure, which you will have the right to revoke at any time, as explained in more detail below. Individually identifiable health information is used only for the purposes necessary for conducting the business of JTJ Medical Supply, Inc., including evaluation activities.\u00a0\u00a0JTJ Medical Supply, Inc. reserves the right to change JTJ Medical Supply, Inc.\u2019s privacy practices and this Notice.<\/span><\/strong><\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

HOW JTJ MEDICAL SUPPLY, INC. MAY USE AND DISCLOSE YOUR PHI<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

The following is an accounting of the ways that JTJ Medical Supply, Inc. is permitted, by law, to use and disclose your PHI.<\/span><\/p>

\u2022\u00a0 Uses and disclosures of PHI for Treatment:<\/strong><\/span>\u00a0<\/span>We will use the PHI that we receive from you to fill your prescription(s) and coordinate or manage your health care.
<\/span>\u2022\u00a0 Uses and disclosures of PHI for Payment: <\/strong><\/span>JTJ Medical Supply, Inc. will disclose your PHI to obtain payment or reimbursement from insurers for your health care services.
\u2022\u00a0 <\/span>Uses and disclosures of PHI for Health Care Operations:<\/span><\/strong>\u00a0<\/span>JTJ Medical Supply, Inc. may use the minimum necessary amount of your PHI to conduct quality assessments, improvement activities, and evaluate JTJ Medical Supply, Inc.\u2019s workforce.<\/span><\/p>

The following is an accounting of additional ways in which JTJ Medical Supply, Inc. is permitted or required to use or disclose PHI about you without your written authorization.<\/span><\/p>

\u2022\u00a0 Uses and disclosures as required by law:<\/strong><\/span>\u00a0<\/span>JTJ Medical Supply, Inc. is required to use or disclose PHI about you as required and as limited by law.
<\/span>\u2022\u00a0 Uses and disclosure for Public Health Activities:<\/strong><\/span>\u00a0JTJ Medical Supply, Inc. may use or disclose PHI about you to a public health authority that is authorized by law to collect for the purpose of preventing or controlling disease, injury, or disability. This includes the FDA so that it may monitor any adverse effects of drugs, foods, nutritional supplements and other products as required by law.
\u2022\u00a0 <\/span>Uses and disclosure about victims of abuse, neglect or domestic violence:<\/span>\u00a0<\/span><\/strong>JTJ Medical Supply, Inc. may use or disclose PHI about you to a government authority if it is reasonably believed you are a victim of abuse, neglect or domestic violence.
<\/span>\u2022\u00a0 Uses and disclosures for health oversight activities:<\/strong><\/span>\u00a0<\/span>JTJ Medical Supply, Inc. may use or disclose PHI about you to a health oversight agency for oversight activities which may include audits, investigations, inspections as necessary for licensure, compliance with civil laws, or other activities the health oversight agency is authorized by law to conduct.
<\/span>\u2022\u00a0 Disclosures for judicial and administrative proceedings: <\/strong><\/span>JTJ Medical Supply, Inc. may disclose PHI about you in the course of any judicial or administrative proceedings, provided that proper documentation is presented to JTJ Medical Supply, Inc.
\u2022\u00a0 <\/span>Disclosures for law enforcement purposes:<\/span><\/strong>\u00a0<\/span>JTJ Medical Supply, Inc. may disclose PHI about you to law enforcement officials for authorized purposes as required by law or in response to a court order or subpoena.
\u2022\u00a0 <\/span>Uses and disclosures about the deceased:<\/strong>\u00a0<\/span>JTJ Medical Supply, Inc. may disclose PHI about a deceased, or prior to, and in reasonable anticipation of an individual\u2019s death, to coroners, medical examiners, and funeral directors.
\u2022\u00a0 <\/span>Uses and disclosures for cadaveric organ, eye or tissue donation purposes:\u00a0<\/span><\/strong>JTJ Medical Supply, Inc. may use and disclose PHI for the purpose of procurement, banking, or transplantation of cadaveric organs, eyes, or tissues for donation purposes.
\u2022\u00a0 <\/span>Uses and disclosures for research purposes:<\/strong>\u00a0<\/span>JTJ Medical Supply, Inc. may use and disclose PHI about you for research purposes with a valid waiver of authorization approved by an institutional review board or a privacy board. Otherwise, JTJ Medical Supply, Inc. will request a signed authorization by the individual for all other research purposes.
\u2022\u00a0 <\/span>Uses and disclosures to avert a serious threat to health or safety:<\/span><\/strong>\u00a0JTJ Medical Supply, Inc. may use or disclose PHI about you, if it believed in good faith, and is consistent with any applicable law and standards of ethical conduct, to avert a serious threat to health or safety.
\u2022\u00a0 <\/span>Uses and disclosures for specialized government functions:<\/span><\/strong>\u00a0JTJ Medical Supply, Inc. may use or disclose PHI about you for specialized government functions including; military and veteran\u2019s activities, national security and intelligence, protective services, department of state functions, and correctional institutions and law enforcement custodial situations.
\u2022\u00a0 <\/span>Disclosure for Workers\u2019 Compensation:<\/strong>\u00a0<\/span>JTJ Medical Supply, Inc. may disclose PHI about you as authorized by and to the extent necessary to comply with Workers\u2019 Compensation laws or programs established by law.
\u2022\u00a0 <\/span>Disclosures for disaster relief purposes:<\/span><\/strong>\u00a0<\/span>JTJ Medical Supply, Inc. may disclose PHI about you as authorized by law to a public or private entity to assist in disaster relief efforts.
\u2022\u00a0 <\/span>Disclosures to business associates:<\/strong>\u00a0<\/span>JTJ Medical Supply, Inc. may disclose PHI about you to JTJ Medical Supply, Inc.\u2019s business associates for services that they may provide to, or for, JTJ Medical Supply, Inc. to assist JTJ Medical Supply, Inc. to provide quality health care. To ensure the privacy of your PHI, we require all business associates to apply appropriate safeguards to any PHI they receive or create.<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

OTHER USES AND DISCLOSURES<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

JTJ Medical Supply, Inc. may contact you for the following purposes:<\/span><\/p>

\u2022\u00a0 Information about treatment alternatives:<\/strong><\/span>\u00a0JTJ Medical Supply, Inc. may contact you to notify you of alternative treatments and\/or products.
<\/span>\u2022\u00a0 Health related benefits or services:<\/strong><\/span>\u00a0JTJ Medical Supply, Inc. may use your PHI to notify you of benefits and services JTJ Medical Supply, Inc. provides.
<\/span>\u2022\u00a0 Fundraising:<\/strong><\/span>\u00a0If JTJ Medical Supply, Inc. participates in a fundraising activity, JTJ Medical Supply, Inc. may use demographic PHI to send you a fundraising packet, or JTJ Medical Supply, Inc. may disclose demographic PHI about you to its business associate or an institutionally related foundation to send you a fundraising packet. No further disclosure will be allowed by the business associates or an institutionally related foundation without your written authorization<\/span>.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

FOR ALL OTHER USES AND DISCLOSURES<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

JTJ Medical Supply, Inc. will obtain a written authorization from you for all other uses and disclosures of PHI, and JTJ Medical Supply, Inc. will only use or disclose pursuant to such an authorization. In addition, you may revoke such an authorization in writing at any time. To revoke a previously authorized use or disclosure, please contact our Privacy Officer to obtain a\u00a0Request for Restriction of Uses and Disclosures<\/span>\u00a0form.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

YOUR HEALTH INFORMATION RIGHTS<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

The following are a list of your rights in respect to your PHI.\u00a0 Please contact our Privacy Officer for more information about the below.<\/p>

The Right to request restrictions on certain uses and disclosures of your PHI:<\/span><\/strong>\u00a0<\/span>You have the right to request additional restrictions of JTJ Medical Supply, Inc.\u2019s uses and disclosures of your PHI; however, we are not required to agree to your request, and we may say \u201cno\u201d if it would affect your care. The right to choose to pay for a prescription or service in, full out of pocket, and restrict disclosure of PHI to a health plan for payment. We will say \u201cyes\u201d unless the law requires us to share the information.<\/span><\/p>

The right to have your PHI communicated to you by alternate means or locations:<\/strong>\u00a0<\/span>You have the right to request access and\/or obtain a copy of your PHI that is contained in JTJ Medical Supply, Inc. for the duration JTJ Medical Supply, Inc. maintains PHI about you. There may be a reasonable cost-based charge for photocopying documents. You will be notified in advance of incurring such charges, if any.<\/p>

The right to inspect and\/or obtain a copy your PHI:<\/strong>\u00a0<\/span>You have the right to request access and\/or obtain a copy of your PHI that is contained in JTJ Medical Supply, Inc. for the duration JTJ Medical Supply, Inc. maintains PHI about you. There may be a reasonable cost-based charge for photocopying documents. You will be notified in advance of incurring such charges, if any.<\/p>

The right to amend your PHI:<\/span><\/strong>\u00a0You have the right to request an amendment of the PHI JTJ Medical Supply, Inc. maintains about you, if you feel that the PHI JTJ Medical Supply, Inc. has maintained about you is incorrect or otherwise incomplete. Under certain circumstances we may deny your request for amendment. If we do deny the request, you will have the right to have the denial reviewed by someone we designate who was not involved in the initial review. You may also ask the Secretary, United States Department of Health and Human Services (\u201cHHS\u201d), or their appropriate designee, to review such a denial.<\/p>

The right to receive an accounting of disclosures of your PHI:<\/span>\u00a0<\/span><\/strong>You have the right to receive an accounting of certain disclosures of your PHI made by JTJ Medical Supply, Inc.<\/p>

The right to receive additional copies of JTJ Medical Supply, Inc.\u2019s Notice of Privacy Practices:<\/span>\u00a0You have the right to receive additional paper copies of this Notice, upon request, even if you initially agreed to receive the Notice electronically.<\/p>

FLORIDA STATE SPECIFIC PROVISIONS<\/strong><\/p>

Disclosure \u2013 Pharmacy Records<\/strong><\/p>

We will not disclose your pharmacy records without your written authorization, except to:<\/p>

\u00a0\u00a0 a.<\/strong> You;
\u00a0 \u00a0b.<\/strong> Your legal representative;
\u00a0 \u00a0c.<\/strong> The Department of Health pursuant to existing law;
\u00a0 \u00a0d.<\/strong> In the event that you are incapacitated or unable to request your records yourself
\u00a0 \u00a0e.<\/strong> In any civil or criminal proceeding, upon the issuance of a subpoena from a court of competent jurisdiction and proper\u00a0notice to you or your legal representative, by the party seeking the records, and
\u00a0 \u00a0 f.<\/strong> As otherwise authorized by state law.<\/p>

REVISIONS TO THE NOTICE OF PRIVACY PRACTICES<\/strong><\/p>

JTJ Medical Supply, Inc. reserves the right to change and\/or revise this Notice and make the new revised version applicable to all PHI received prior to its effective date. JTJ Medical Supply, Inc. will also post the revised version of the Notice of Privacy Practice in all JTJ Medical Supply, Inc. locations.<\/p>

COMPLAINTS<\/strong><\/p>

If you believe your privacy rights have been violated, you may file a complaint with JTJ Medical Supply, Inc. and\/or to the Secretary of HHS, or its designee. If you wish to file a complaint with JTJ Medical Supply, Inc., please contact our Privacy Officer. If you wish to file a complaint with the Secretary of HHS, please write to:<\/p>

Region IV – Atlanta
(Alabama, Florida, Georgia, Kentucky, Mississippi, North Carolina, South Carolina, Tennessee)
Roosevelt Freeman, Regional Manager
Office for Civil Rights
U.S. Department of Health and Human Services
Sam Nunn Atlanta Federal Center, Suite 16T70
61 Forsyth Street, S.W.
Atlanta, GA 30303-8909
Voice Phone (800) 368-1019
FAX (404) 562-7881
TDD (800) 537-7697<\/p>

JTJ Medical Supply, Inc. will not take any adverse action against you as a result of your filing of a complaint.<\/p>

CONTACT INFORMATION<\/strong><\/p>

If you have any questions on JTJ Medical Supply, Inc.\u2019s privacy practices or for clarification on anything contained within the Notice, please contact:<\/p>

JTJ Medical Supply, Inc
DBA Mail-Meds Clinical Pharmacy
ATT: Privacy Officer
2692 Oak Ridge Court
Fort Myers, FL 33901
(800) 939-2022
Effective 07\/12\/2013
Revised 03\/04\/2014
Revised 09\/20\/2016<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

JTJ MEDICAL SUPPLY, INC.\n\n
Acknowledgement of Receipt of Privacy Notice<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

As required by HIPAA, all Patients who receive pharmacy services from JTJ Medical Supply, Inc. must:<\/p>

\u2022 Sign the \u201cAcknowledgement\u201d Form below and return it to us for our records.<\/p>

Please note that the attached Notice is not a consent form that must be read in full and signed before services can be provided; rather, the Notice provides our Patients with a summary description of (1) How our office will use and disclose medical and billing information for legitimate business purposes, and (2) How our Patients can exercise their rights with regard to his\/her health information. This notice is similar to the one that you receive from your physician\u2019s office and other institutions that provide medical care and services.<\/p>

Please confirm you have received the JTJ Medical Supply, Inc.\u00a0Notice of Privacy Practices<\/span>\u00a0by signing below then returning this form in the enclosed postage-paid envelope.<\/p>

Thank you!<\/strong><\/p>

I have received the JTJ Medical Supply, Inc.\u00a0Notice of Privacy Practices<\/span>\u00a0in the Enrollment\/Welcome Package\/Handbook.<\/p>

Patient Signature: ________________________________________________________________________________________________\u00a0\u00a0\u00a0 Date: _______________<\/p>

Print Name: _______________________________________________________________________________________________________________________________<\/p>

Address- Street: ___________________________________________________________________________________________________________________________<\/p>

City: _____________________________________________________________________________\u00a0\u00a0\u00a0\u00a0 State:_______________\u00a0\u00a0\u00a0 Zip Code:\u00a0\u00a0 ____________________<\/p>


Patient Contact and Communication Consent to Share Information<\/span><\/p>

Mail-Meds Clinical Pharmacy are required by the new HIPAA Privacy Rules to obtain your consent in order to share your medical information for certain reasons.<\/p>

The Patient Contact and Communications Consent form on page 27 below will be in effect for as long as Mail-Meds Clinical Pharmacy supply your medication to you. You may withdraw this consent at any time by contacting our Health Benefits Coordinators at (800) 939-2022 option 4.<\/p>

Mail-Meds Clinical Pharmacy will share this information with the people that you choose to arrange for delivery of your medication, discuss your treatment or discuss payment. This information may then be further disclosed in order to avoid any delay in delivering your medication delivery.<\/p>

To inform us on how you would like us to communicate with you and to whom we may give information to please complete the form below and return it to us in the enclosed postage-paid envelope.<\/p>

Thank you!<\/p>

Patient Contact and Communications Consent<\/strong><\/p>

Please\u00a0click here<\/span><\/a>\u00a0to fill out the Patient Contact and Communications Consent.<\/p>

Patient Concerns and Complaints<\/strong><\/p>

You have the right and responsibility to express concerns, dissatisfaction or make complaints about services you do or do not receive without fear of reprisal, discrimination or unreasonable interruption of services.<\/p>

JTJ Medical Supply, Inc.\u2019s corporate office telephone number is (800) 939-2022. Should you call during regular business hours, please ask to speak with the General Manger of Pharmacy Operations at extension 3032. If you are calling outside of regular business hours (including weekends and holidays) please ask to speak to the on-call staff pharmacist. A formal written complaint may be filed as well. Please see page 29 below for a copy of our Patient Concern and Complaint form.<\/p>

Mail-Meds Clinical Pharmacy have a formal complaint process that ensures that your concerns\/complaints will be reviewed and investigated. Every attempt shall be made to resolve all grievances within five (5) business days of receipt of the concern\/complaint. You will be informed by phone, and in writing if we cannot reach you by phone, of the resolution of the complaint. If more time is needed to resolve the concern\/complaint, you will also be informed verbally and in writing.<\/p>

If you feel the need to discuss your concerns, dissatisfaction or complaints with anyone other Mail-Meds Clinical Pharmacy, you have the right to express complaints to the Secretary of the U.S. Department of Health and Human Services, 200 Independence Avenue, S.W., Washington, DC 20201; or you may call (202) 619-0257 or 1-877-696-6775 (toll free); or you may log on to their internet address.<\/p>

If you wish, you may also file a complaint with URAC (Utilization Review Accreditation Commission) at (202) 216-9010 or with ACHC (The Accreditation Commission for Health Care) at 1-855-937-2242 or 919-785-1214 and request the Complaints Department.<\/p>

If you need to file a complaint against the pharmacy or one of our employees, please visit the Florida Department of Health website\u00a0http:\/\/www.floridahealth.gov\/licensing-and-regulation\/enforcement\/report-unlicensed-activity\/file-a-complaint.html<\/a>\u00a0or call\u00a0 (877) 425-8852.

<\/p>

JTJ MEDICAL SUPPLY, INC.
<\/strong>Patient Concern and Complaint Form<\/strong><\/p>

JTJ Medical Supply, Inc.\u2019s staff strives to ensure that quality products\/services are consistent with our philosophy. As stated in the Patient Bill of Rights and Responsibilities, you have the right to be given appropriate and professional quality pharmacy services without discrimination. You also have the right to voice your concerns, grievances, or complaints about your service without being retaliated or discriminated against.<\/p>

If you are unhappy with our service or have concerns about safety and quality of care, we would like you to contact our management. You may either complete this form\u00a0by\u00a0<\/span>clicking here<\/span><\/a>\u00a0and submitting a complaint form<\/span>\u00a0or call us at the number (800) 939-2022 or visit our website at www.mailmeds.com to submit your concerns.<\/p>

Within one (1) business day of receiving your concern, we will notify you by telephone, email, fax or letter format that the matter is under investigation. No later than five (5) business days of receiving your concern, JTJ Medical Supply, Inc. will provide verbal or written notification to you with the results of its investigation and response.<\/p>

Mail this Form to:
JTJ Medical Supply, Inc., P.O. Box 62134, Fort Myers, FL 33906-9987 or Fax to (855) 523-0910<\/p>

Thank you in advance for bringing your concern to our attention as it will assist us in our continuing effort to improve the quality of our services.<\/p>

Your Name: _______________________________________________________________________________________________________\u00a0\u00a0\u00a0 Date of Birth: _________________________<\/p>

Description of the Problem, Concern, or Complaint (include dates, times and names, if possible):<\/p>

___________________________________________________________________________________________________________________________________________________________________<\/p>

___________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________________________________________<\/p>

Completed By (signature): _________________________________________________________________________________________________\u00a0\u00a0\u00a0 Date: _________________________________<\/p>

Relationship to Patient (if applicable): ____________________________________________________________________________________________________________________________<\/p>

FINANCIAL OBLIGATIONS AND FINANCIAL ASSISTANCE<\/span><\/strong><\/p>

Insurance Claims<\/span><\/strong><\/p>

Mail-Meds Clinical Pharmacy will automatically submit prescription claims to your health insurance carrier based on the date your prescription is filled. You will receive a monthly statement if you are financially responsible for any portion of the prescribed medication. Please notify Mail-Meds Clinical Pharmacy of any change in your billing address or insurance information. If the prescription claim is rejected, the staff of Mail-Meds Clinical Pharmacy will notify you so that we can work together to resolve the issue. If we are unable to resolve the issue, our staff will provide you with information on how to file a claim. You may be responsible for paying a coinsurance and\/or deductible amount. Please see \u201cAssignment of Benefits\u201d on page 32 (below) for further information on payments and responsible parties.<\/p>

Co-Payments<\/span><\/strong><\/p>

In almost all cases, Mail-Meds Clinical Pharmacy are required to collect all insurance co-payments prior to the delivery or pick-up of your prescription medication(s). Mail-Meds Clinical Pharmacy accept all major credit and debit cards (over the telephone or in-person) and also accepts personal checks and money orders at prescription pick-up or as payment in advance through the mail.<\/p>

Outstanding Balances<\/strong><\/p>

If for any reason you owe a balance, the balance must be paid prior to your next prescription refill. Mail-Meds Clinical Pharmacy accept all major credit and debit cards (Visa, MasterCard, American Express and Discover) and also accepts personal checks and money orders.<\/p>

Payment Plan<\/span><\/strong><\/p>

If you need help in arranging a payment plan for the money you owe, please contact our Billing Department at (800) 939-2022 option 6. If you receive a check directly from your insurance provider or prescription plan for prescriptions dispensed to you by either Mail-Meds Clinical Pharmacy, you should immediately endorse the check (sign the back) and mail it to: Mail-Meds Clinical Pharmacy, Attn: Billing Dept., P.O. Box 62134, Ft. Myers, FL 33906-9987. Please include a copy of the Explanation of Benefits (also known as the EOB) that accompanied the check when you received it.<\/p>

Co-pay Assistance Referral Program<\/span><\/strong><\/p>

Mail-Meds Clinical Pharmacy submit claims to your health insurance carrier on the date your prescription is filled. If the claim is rejected for out of network or there is a high out-of-pocket cost such as deductibles, co-pays, co-insurance, and out-of-network information a pharmacy staff member will notify you so that we can work together to resolve the issue. We will also provide you a claim print out (Medical Expense Report) in writing.<\/p>

Mail-Meds Clinical Pharmacy will attempt to identify any possible Co-pay Assistance Referral Programs that may offer financial assistance to help you with out-of-pocket costs such as deductibles, co-pays, and\/or co-insurance to ensure there is no interruptions in your therapy. These programs include discount coupons from drug manufacturers, co-payment vouchers, and assistance from various disease management foundations and pharmaceutical companies.<\/p>

You will always be informed of high co-payments prior to filling of the medication. We will explore all additional resources to help address these. If there are no financial resources available we will work with your physician to explore alternatives for you.<\/p>

If you are in need of co-pay assistance, please complete the following form on page 32 below and return it to your Health Benefits Coordinator who will work with you to identify any possible programs. Completion of this form is no guarantee of benefits.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

JTJ MEDICAL SUPPLY, INC.
\n\nDBA MAIL-MEDS CLINICAL PHARMACY
\n\nASSIGNMENT OF BENEFITS<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

Dear Mail-Meds Clinical Pharmacy Patient,<\/p>

Thank you for choosing us for your medication needs.<\/p>

We are pleased to offer you complete insurance billing services, including coordination of benefits, to lessen the amount of paperwork you need to complete. To allow us to file your prescription benefits forms for you, your insurance company requires that we have a signed \u201cAssignment of Benefits Statement\u201d on file. We ask that you complete the form, sign at the bottom, and return it in the pre-paid postage envelope provided within seven (7) days after receipt.<\/p>

Assignment of Benefits<\/strong><\/p>

I hereby authorize Medicare, Medicaid or my private health insurance plan to pay my drug and supplies benefit directly to JTJ Medical Supply, Inc. I authorize JTJ Medical Supply, Inc. to file an appeal on my behalf for any denial of payment and\/or adverse benefit determination related to services and care provided.\u00a0 I further authorize any holder of medical information about me to release such information that may be required for JTJ Medical Supply, Inc. to file an insurance claim on my behalf. The original will be kept on file by JTJ Medical Supply, Inc. and a copy sent to my insurance plan when requested.<\/p>

Patient Responsibility<\/strong><\/p>

I agree that my insurance company\u2019s verification of benefits does not release me from financial responsibility for services rendered.\u00a0 If my insurance company denies any claims, in part or whole, to include any deductible, co-insurance, co-payment or disallowance of payment, or the organization is an out-of-network provider, I am financially responsible for all charges not covered by my insurance. I understand the actual member financial responsibility will be determined when the claim is processed and I will be contacted by a JTJ Medical Supply, Inc. staff informing me of the cost prior to the delivery of the medication(s) and the costs will be provided to me both verbally and in writing.<\/p>

In the event of non-coverage, or if my insurance should pay benefits directly to me for any merchandise provided by JTJ Medical Supply, Inc., I will either endorse all checks from my insurance company as \u201cPay to the order of JTJ Medical Supply, Inc.\u201d within seven (7) days of receipt of checks or provide payment to JTJ Medical Supply, Inc. in the form of a personal check or credit card.<\/p>

I agree to inform JTJ Medical Supply, Inc. of any change in my status including, but not limited to: change in address, hospital or nursing home admissions and discharges, and any changes that affect my insurance coverage and payments or my own ability to pay for products and services rendered by JTJ Medical Supply, Inc. and prescribed by my physician. If you have any questions regarding this form, please contact JTJ Medical Supply, Inc. at 2692 Oak Ridge Court, Fort Myers, FL 33901, (800) 939-2022.<\/p>

Name: __________________________________________________________________________________________________________________________\u00a0\u00a0\u00a0 DOB: _______________________<\/p>

Policy #: _________________________________________________________________________________________________________________________________________________________<\/p>

Member Signature: _________________________________________________________________________________________________________________\u00a0\u00a0\u00a0 Date: _______________________<\/p>

Parent\/Guardian Signature: ________________________________________________________________________________________________________\u00a0\u00a0\u00a0\u00a0 Date: _______________________<\/p>

Request for Financial Assistance<\/p>

Click here<\/span><\/a>\u00a0to fill out our Request for Financial Assistance form.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

PATIENT SAFETY AND EDUCATION<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

Emergency Preparedness<\/span><\/strong><\/p>

Should there be an emergency in your own area that would prevent the delivery of your medication, please contact your doctor or go to your local hospital to receive your medication.<\/span><\/p>

Develop a plan of action<\/span><\/strong><\/p>

In case of a fire, create an escape plan and pass that information on to all the members of the household. Choose a room with two (2) exits and plan for everyone to meet at one place outside the house. Locate ramps or other special exits for the time of need.<\/span><\/p>

If you are bedridden, you may notify the local fire department about which room you occupy within your dwelling. Bedrooms should be on the ground floor, if possible, for easy exit in case of fire.<\/span><\/p>

Smoke detectors are a must.<\/span><\/strong><\/p>

There should be at least one detector in working order on each floor. A smoke detector should be placed near the kitchen and living room because most fires start in those rooms. If you do not have a smoke detector, there are community resources that supply smoke detectors at no charge. Please talk to your social worker or case manager.<\/span><\/p>

Smoke detectors are a must.<\/span><\/strong><\/p>

There should be at least one detector in working order on each floor. A smoke detector should be placed near the kitchen and living room because most fires start in those rooms. If you do not have a smoke detector, there are community resources that supply smoke detectors at no charge. Please talk to your social worker or case manager.<\/span><\/p>

Keep a fire extinguisher nearby.<\/span><\/strong><\/p>

In case of fire, call the fire department. Fight a fire only if the fire is small and everyone has been evacuated.<\/span><\/p>

Always leave yourself an escape route. If children are in the home, performing a fire drill can educate them about safety in case of a fire. Remind everyone to stay low because smoke rises. Don’t open any door unless the door feels cool to the back of your hand. If clothing catches fire: STOP, DROP and ROLL.<\/span><\/p>

Develop a tornado warning plan. If possible, move into an interior room without windows, have your windows covered with heavy blankets to prevent breaking glass from entering the room.<\/span>Keep a battery-operated flashlight and radio on hand. During a power outage, if you have an oxygen concentrator it should be turned off. Contact the company that supplies your oxygen for refills if a portable oxygen tank is preferred and needed. If you choose to stay with a friend or family member who has electricity in their home, please call your social worker or case manager to let them know your new location.<\/span><\/p>

Prior to and during severe weather events and associated seasons, Mail-Meds Clinical Pharmacy will make arrangements to ensure adequate medications and supplies are available. Daily phone calls will be made to assess for issues as necessary.<\/span><\/p>

Medication Safety<\/span><\/strong><\/p>

Mail-Meds Clinical Pharmacy recommend the following for general medication safety:<\/span><\/p>

\u2022\u00a0 Maintaining a current medication list helps you remember the names of your medications and how you are supposed to take them.<\/span>
\u2022\u00a0 For your own safety, carry a current list of your medications with you at all times. Everyone on your health care team should know what medications have been prescribed for you and what you take and use without a prescription.
<\/span>\u2022\u00a0 When you visit your doctors, nurses, dentists and pharmacists show your list to them. It is important to review your list with your healthcare team at every visit.
<\/span>\u2022\u00a0 Make sure you have a list of medications you are to take at home after you get discharged from the hospital. A medication dosage or frequency may change or be discontinued. Ask your physician any questions you have about your medication prior to discharge.
\u2022\u00a0 <\/span>The list of medications should contain prescribed medications and all over-the-counter (OTC) medications and herbals. These are medications you may purchase without a prescription like Tylenol, vitamins, CQ10 and fish oil.<\/span><\/p>

It is important for you to be informed about all your medications to include:<\/span><\/p>

\u2022\u00a0 What disease has the medication been prescribed for?
<\/span>\u2022\u00a0 General knowledge of how the medication works.
\u2022\u00a0 <\/span>Knowledge of possible side effects to prevent an injury to you or others, such as driving after taking a narcotic.
\u2022\u00a0 <\/span>How to take your medication such as frequencies, time, dose, and route (by mouth, SQ injection just under the skin).
\u2022\u00a0 <\/span>What your medication will interact with such as alcohol or grapefruit juice.
\u2022\u00a0 <\/span>Ability to administer medication as prescribed, or the ability to give yourself injections when ordered.
\u2022\u00a0 <\/span>Does the medication have any special warning like Black Box, take with food or take on an empty stomach? What to do if you miss a medication; sometimes you cannot take the missed dose.
\u2022\u00a0 <\/span>Can you chew or crush the medication?
\u2022\u00a0 <\/span>When to notify the pharmacist and the doctor.
\u2022\u00a0 <\/span>How to store your medication, i.e., do they need to be stored in the refrigerator or is it sensitive to light or the temperature range at which the medication needs to be stored?
<\/span>\u2022\u00a0 Inspect your medication after being filled: Does it look the medication you have taken before? Is the label correct? Does it have your name on the package?
<\/span>\u2022\u00a0 If you have QUESTIONS, call the pharmacist. Errors can occur when dispensing medication.
\u2022\u00a0 <\/span>How to properly and safely dispose of your medications. Inspect your medications when they are delivered for damage and appropriate temperature range. This is very important for medication that need to be refrigerated.<\/span><\/p>

If you are concerned about the integrity of the medication call Mail-Meds Clinical Pharmacy. Also, check medications to make sure they stay out of the reach of children or out of the reach of cognitively impaired individuals. Medications are to be stored as recommended by the manufacturer, written information is provided with each shipment. It is important that you review the information, however, if you have questions please call the pharmacy at (800) 939-2022.<\/span><\/p>

Hand Hygiene<\/span><\/strong><\/p>

Hand Hygiene is a general term that applies to either hand washing, antibacterial hand wash or alcohol based hand rub. It is the best and easiest way to prevent the spread of micro organisms. Hand hygiene should be carried out as indicated below, either with soap and running water (if hands are visibly soiled) or with alcohol rub (if hands appear clean).<\/span><\/p>

How to Wash Your Hands to Prevent Illness<\/span><\/strong><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

Preparation for Injection<\/span><\/strong><\/p>

What to Do Before Any Injection:<\/p>

1.<\/strong> Wash hands thoroughly with antibacterial soap and dry with paper towels. (Handout provided)
2.<\/strong> Set up a clean work area free of dust and dirt; wipe area with alcohol if necessary.
3.<\/strong> Gather all necessary supplies that you will need: syringe, medication, alcohol pads and a Sharps container and place them on a clean towel. Be sure that your work area has enough lighting and that you have your glasses, if necessary, to ensure that you fill syringe with correct amount of mediation.
4.<\/strong> If you are not using a pre-filled syringe, prepare your medication and fill the syringe according to the drug makers guidelines found in the medication package insert.
5.<\/strong> Depending on the type of medication, you may be required to discard the needle used to draw up the medication and place a new needle on the syringe for injection. This known as an exchange needle; extra needles should be in the package with the medication. This may be necessary to avoid irritating the skin and tissues. Remember to discard all needles in a Sharps container.<\/p>

Sharps Disposal and Biomedical Waste<\/span><\/strong><\/p>

You can prevent injury, illness, and pollution by following some simple steps when you dispose of the sharp objects and contaminated materials you use in administering health care in your home.<\/p>

You should place the following objects in a hard-plastic or metal container with a screw-on or tightly secured lid.<\/p>

\u2022\u00a0 Needles
\u2022\u00a0 Syringes
\u2022\u00a0 Lancets
\u2022\u00a0 Other sharp objects<\/p>

We can give you a disposable Sharps container, or you may purchase containers specifically designed for the disposal of medical waste sharps. Before discarding a container, be sure to reinforce the lid with heavy-duty tape. Do not put sharp objects in any container you plan to recycle or return to a store, and do not use glass or transparent plastic containers (see additional information below). Make sure that you keep all containers with sharp objects out of the reach of children and pets.<\/p>

We also recommend that the following items be placed in securely fastened plastic bags before you put them in the garbage can with your other trash.<\/p>

\u2022\u00a0 Soiled bandages
\u2022\u00a0 Disposable sheets
\u2022\u00a0 Medical gloves<\/p>

Proper Disposal of Unused Medications<\/span><\/strong><\/p>

Transfer Unused Medicine to Authorized Collectors for Disposal<\/span><\/a><\/p>

Consumers and caregivers should remove expired, unwanted, or unused medicines from their home as quickly as possible to help reduce the chance that others may accidentally take or intentionally misuse the unneeded medicine.<\/p>

Medicine take-back programs are a good way to safely dispose of most types of unneeded medicines. The U.S. Drug Enforcement Administration (DEA) periodically hosts National Prescription Drug Take-Back events where collection sites are set up in communities nationwide for safe disposal of prescription drugs. Local law enforcement agencies may also sponsor medicine take-back programs in your community. Likewise, you can contact their local waste management authorities to learn about medication disposal options and guidelines for their area.<\/p>

Another option to dispose of unneeded medicines is to transfer unused medicines to collectors registered with the DEA. DEA-authorized collectors safely and securely collect and dispose of pharmaceuticals containing controlled substances and other medicines. In your community, authorized collection sites may be retail pharmacies, hospital or clinic pharmacies, and law enforcement locations. Some authorized collection sites may also offer mail-back programs or collection receptacles, sometimes called \u201cdrop-boxes,\u201d to assist consumers in safely disposing of their unused medicines.<\/p>

You can visit the DEA\u2019s website for more information about drug disposal, National Prescription Drug Take-Back Day events and to locate a DEA-authorized collector in their area. You may also call the DEA Office of Diversion Control\u2019s Registration Call Center at 1-800-882-9539 to find an authorized collector in your community.<\/p>

Disposal in Household Trash<\/span><\/strong><\/p>

If no medicine take-back programs or DEA-authorized collectors are available in your area, and there are no specific disposal instructions on the label, follow these simple steps to dispose of most medicines in the household trash:<\/p>

If you have kids in the house, make sure you dispose of the medicine in a way that they cannot get to it.<\/p>

Only in rare circumstances should medicine be flushed down the toilet. See instructions for disposal on the medicine\u2019s label or the package’s patient information of see the FDA list of medicines recommended for disposal by flushing at\u00a0 https:\/\/www.fda.gov\/downloads\/drugs\/resourcesforyou\/consumers\/buyingusingmedicinesafely\/ensuringsafeuseofmedicine\/safedisposalofmedicines\/ucm337803.pdf .<\/p>

PLEASE DO NOT SEND USED MEDICTIONS OR SHARPS CONTAINERS THROUGH THE MAIL BACK TO MAIL-MEDS CLINICAL PHARMACY.<\/p>

Containers with Sharps are Not Recyclable<\/span><\/strong><\/p>

EPA promotes all recycling activities and encourages you to discard medical waste sharps in a sturdy non-recyclable container when possible. If a recyclable container is used to dispose of medical waste sharps, make sure that you don\u2019t mix the container with other materials to be recycled. Since sharps impair the containers recyclability, a container holding your medical waste sharps properly belongs with the regular household trash. You may even want to label the container, \u201cNOT FOR RECYCLING\u201d. In addition, make sure your sharps container is made of non-breakable material and has a lid that can be securely closed. These steps go a long way toward protecting workers and others from possible injury (Although disposing of recyclable containers removes them from the recycling stream, the expected impact is minimal.)<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

\n\t\t\t\t
\n\t\t\t

JTJ MEDICAL SUPPLY, INC.
\n\nDBA MAIL-MEDS CLINICAL PHARMACY
\n\nRECORD OF ACKNOWLEDGEMENT<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
\n\t\t\t\t
\n\t\t\t\t\t\t\t

Acknowledgement of Welcome Packet Acknowledgement of Enrollment and Welcome Package that contains at least the following information:<\/p>

\u2022\u00a0 Contact Information
\u2022\u00a0 Hours of Operation
\u2022\u00a0 Clinical Pharmacist After Hours Availability
\u2022\u00a0 Patient Clinical Management Program
\u2022Patient Bill of Rights and Responsibility
\u2022\u00a0 Patient Complaint Form
\u2022\u00a0 Request of Financial Assistance Information
\u2022\u00a0 Assignment of Benefits Form
\u2022\u00a0 Patient Safety and Education to include Emergency Planning and Disposal of Sharps\/Medical Waste
\u2022\u00a0 Patient Contact and Communications Consent
\u2022\u00a0 Notice of Privacy Practices
\u2022\u00a0 Customer Satisfaction Form<\/p>

Please confirm you have received JTJ Medical Supply, Inc. Specialty Pharmacy Welcome Packet by signing below and then returning this form in the enclosed postage-paid envelope.<\/p>

Thank you!<\/p>

Your Signature: ____________________________________________________________________________________________________________________________________________________<\/p>

Your Name: ____________________________________________________________________________________________________________________________\u00a0\u00a0\u00a0\u00a0\u00a0 Date: __________________<\/p>

Your Street Address: _______________________________________________________________________________________________________________________________________________<\/p>

City: ___________________________________________________________________________________________________\u00a0\u00a0\u00a0\u00a0\u00a0 State: _____________\u00a0\u00a0\u00a0\u00a0\u00a0 Zip Code: ________________________<\/p>

\u00a0<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

Welcome Packet Mail-Meds Clinical Pharmacy Fulfilling Your Specialty Pharmacy Needs Enroll in Mail-Meds (English) Enroll in Mail-Meds (Spanish) Click Here to download the English printed version Click Here to download the Spanish printed version WELCOME! Dear Patient, Welcome to JTJ Medical Supply, Inc. which operates all Mail-Meds Clinical Pharmacy locations. The staff at Mail-Meds Clinical […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2941,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-templates\/home.php","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"aioseo_notices":[],"blog_post_layout_featured_media_urls":{"thumbnail":"","full":""},"categories_names":null,"comments_number":"0","_links":{"self":[{"href":"https:\/\/mailmeds.com\/wp-json\/wp\/v2\/pages\/5101"}],"collection":[{"href":"https:\/\/mailmeds.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/mailmeds.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/mailmeds.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mailmeds.com\/wp-json\/wp\/v2\/comments?post=5101"}],"version-history":[{"count":139,"href":"https:\/\/mailmeds.com\/wp-json\/wp\/v2\/pages\/5101\/revisions"}],"predecessor-version":[{"id":5607,"href":"https:\/\/mailmeds.com\/wp-json\/wp\/v2\/pages\/5101\/revisions\/5607"}],"up":[{"embeddable":true,"href":"https:\/\/mailmeds.com\/wp-json\/wp\/v2\/pages\/2941"}],"wp:attachment":[{"href":"https:\/\/mailmeds.com\/wp-json\/wp\/v2\/media?parent=5101"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}