Sunday, July 20, 2008

Do They have Their Heads up Their But?

Medicare does the dumbest thing by now having vaccines under the wing of the Part D Plans, that is the prescription plan of Medicare.

"Options to Ensure Adequate Access Under Part D to
Covered Vaccines
In-Network Distribution Approaches
In-Network Access to Retail Pharmacies: Enrollees could
obtain a prescription from the physician and bring it to their
local network retail pharmacy for filling. In some states, it will
already be possible for the vaccine to be administered by the
pharmacist. Forty-six states currently allow pharmacists to
provide some type of vaccinations. When it is safe to
dispense and administer these vaccines in the pharmacy,
plans will be exploring utilization of their network
pharmacists as a provider of adult Medicare Part D vaccines."

I live in Florida and pharmacists cannot administer vaccines in this state as well as three other states.
So where does this leave the Medicare Beneficiary? Up the creek without the paddle, and do they care? hell, no.
So, the patient takes the script to the pharmacy, gets the vaccine, (which in the case of Zostavax, must be kept frozen) and does what with it?
A physician's office cannot take responsibility to administer the vaccine, if it has not been kept frozen it may cause more harm than good.
I guess I should explain what Zostavax is. It is the vaccine to help prevent herpes zoster, or otherwise known as "shingles". Shingles is a very painful condition caused from "chicken pox" virus in older adults. It can cause blindness if condition manifests in the eyes.

This isn't the first really stupid thing they have done..like Medicare will pay for tetanus vaccine but the only thing close to hat vaccine is the tetanus-diphtheria vaccine, no vaccine manufacturer makes a tetanus vaccine.

Well, if I continue ranting on this subject, I'll just get myself more upset and start using four letter words.

So here I am "STUCK IN THE MIDDLE WITH YOU".

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