Welcome to the GeriMed Long Term Care (LTC) Network!
The GeriMed LTC Network offers special reimbursement to pharmacies servicing patients in long term care and assisted living facilities because of the extra services provided to these patients. This network is designed by pharmacists for pharmacists and is especially suited for our members.
What does the GeriMed Long Term Care Network offer me?
The GeriMed LTC Network helps long term care pharmacies provide their service to the long term care community. Member pharmacies receive access to unique services and higher reimbursement for their Medicare Part D patients without having to obtain contracts on their own.
The many powerful advantages of our Long Term Care Network also include:
- Expert support to assist with Part D Plans (for example, what to do if your pharmacy is not receiving the correct reimbursement rate).
- Unique software programs, including PDP-PC, which helps manage all of the Part D Formularies. This program shows products available on formulary and organizes this information by plan, even providing utilization tools such as PAs, Quantity Limits and Step Therapy. It can also assist in finding plans for new beneficiaries based on the current medications they receive.
- Assistance with receiving claims payments when pharmacies are unable to obtain assistance from the various Part D Plan helpdesks.
- Commitment to working with pharmacies, as well as with the Part D Plans, in developing specific programs aimed at obtaining extra reimbursement for pharmacy services (e.g., Medication Therapy Management).
- Contracts with long term care rates for more than 99% of all plans across the country, including the 17 national plans for each year since Medicare Part D’s inception in 2006.
- Information on prior authorization forms, BIN and PCN numbers, and other relevant materials.
- Assurance that long term care pharmacies are paid appropriately for claims at the LTC rate.
- Secured long term care rates for skilled nursing home residents, ICF-MR patients and assisted living residents when they require the same level of care as a nursing home resident.