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Prescriptions
How much does treatment cost?
For the majority of our patients who are Medicaid members, the medication is fully covered. For Medicare and commercially insured patients, the co-pay varies depending on the plan you are enrolled in. If you have non-standard Medicaid coverage, our insurance verification team will send you an explanation of your benefits including any out-of-pockets costs before your first appointment.
How many days of medications will I get at a time?
Patients receive a refill for their prescription medication at each visit unless there is a safety issue or diversion (selling or giving away the medication). For the first couple of weeks, visits are scheduled every few days, then visits are weekly, bi-weekly, and eventually, once every 3-4 weeks. Changes to the frequency of visits may be made at any time by our providers depending on the patient's recovery.
Who do I contact if I run into problems with a prescription?
You can call 1.877.522.1275, 7 days a week, or email info@idealoption.net if you need help filling your prescription.
Will I get a paper prescription to take to a pharmacy?
No. We use electronic prescriptions known as ePrescriptions. After your visit, our ePrescription team receives your prescription from the provider and prepares the prescription. As required by the Controlled Substances Act (CSA), the prescription is then sent back to the provider for signature and the prescription is sent to your pharmacy to be filled.
What happens if I run out of medication before my appointment?
If you run out of medication when our clinic is open that day or the next day, you will be scheduled for a same or next day emergency visit, either in-person (preferred) or remotely using our virtual clinic. If you run out of medication when our clinics are not open that day or the next day, a request for a bridge prescription will be submitted to the prescribing provider. A nurse will contact you to inform you of the provider's decision as soon as possible.
What is a "bridge" prescription?
A bridge prescription is a short prescription that may be approved for a patient who is unable to come to the clinic for a scheduled visit with their provider.
What is Ideal Option's policy on bridge prescriptions?
To maximize patient safety, accountability, and adherence to evidence-based guidelines and clinical protocols, Ideal Option requires a provider visit prior to issuing a prescription for a medication. In the case of a patient emergency, a prescription for a medication without a provider visit may be approved for a maximum of seven days.
Who is eligible for a bridge prescription?
Each request for a bridge prescription will be evaluated on a case-by-case basis, taking into account patient stability as demonstrated by things like compliance with completing in-clinic visits, adhering to prescribed medications, and completing regular urine drug tests. The provider will then approve or deny the prescription request based on these patient-specific factors.