Academic Detailing
The IEHP Pharmacy Academic Detailing team is an educational and evidence-based outreach program for our providers and pharmacies. We perform phone and one-on-one outreaches with physicians, nurse practitioners, physician assistants, and pharmacy staff. Our goal is to transform the prescriber and pharmacy practice and enhance the provider, pharmacist and member experience.
Clinical Drug Education
Clinical Drug Education provides materials that focus on a specific drug, drug class, and/or disease state. These materials contain pharmacological and clinical practice information to assist providers and pharmacies in their practice. As new drug information is available, it is important to stay up to date on clinical research findings to assist with member care and medication-use decisions.
Clinical Drug Education
Asthma
Biosimilars
A growing trend in healthcare is the use of biosimilar drugs. The following information will assist you and your practice on prescribing biosimilars.
- What is a Biosimilar? (PDF)
- Biological Product Definitions (PDF)
- Prescribing Biosimilar Products (PDF)
- Prescribing Interchangeable Products (PDF)
Opioid and Chronic Pain Management
In collaboration with Riverside University Health System (RUHS) and Centers for Disease Control and Prevention (CDC), IEHP would like to provide the following information to assist you and your practice on prescribing opioids for chronic pain management.
CURES
- CURES FAQ (PDF)
- CURES 2.0 User Guide (PDF)
- CURES tips and tricks (PDF)
- Naxolone Drug facts (PDF)
- Naxolone instructions for use (PDF)
- First Responder Naxolone administration fact sheet (PDF)
Opioid Prescribing Guidelines
- Medication Assisted Treatment (MAT) and Opioid Treatment Program (OTP) FAQ (PDF)
- CDC Guideline Infographic (PDF)
- CDC Guidelines Factsheet (PDF)
- TurnTheTide Pocket Guide for Prescribing Opioids for Chronic Pain (PDF)
Opioid Tapering
- Clinical Pocket Guide to Tapering (PDF)
- Tapering Resource-AAFP (PDF)
- Opioid Tapering Resource pack (PDF)
Pharmacy
Urine Drug Testing
X-Waiver
- X-Waiver resources
- Quick information about DATA 2000
- X-waiver online form
- For more information, contact SAMHSA:
- (866) BUP-CSAT (866-287-2728)
- infobuprenorphine@samhsa.hhs.gov
Electronic Prescribing (e-Rx)
Electronic prescribing is a growing standard in the healthcare industry. Most electronic health record systems offer electronic prescription capabilities. The information below will provide insight to the practice of e-prescribing.
Formulary Utilization
The IEHP Formulary offers a variety of drugs based on safety and efficacy for any condition. The information below will help you find out how to access and interpret the formulary
- Medi-Cal FAQ (PDF)
- Medicare FAQ (PDF)
- Formulary Criteria Guide (PDF)
The process of submitting a prior authorization may be cumbersome for your practice. The information below will help you understand this process and assist with receiving a proper decision in a timely manner.
UPA Submission
For any questions regarding Pharmacy Academic Detailing Training please contact:
PharmacyAcademicDetailing@iehp.org
IEHP DualChoice Cal MediConnect Plan (Medicare-Medicaid Plan)
What is IEHP DualChoice Cal MediConnect Plan (Medicare-Medicaid Plan)?
IEHP DualChoice is a Cal MediConnect Plan. A Cal MediConnect Plan is an organization made up of doctors, hospitals, pharmacies, providers of long-term services and supports, behavioral health providers, and other providers. It also has care coordinators and care teams to help you manage all your providers and services. They all work together to provide the care you need.
What is the goal of this program?
The goal is to improve care by integrating the following healthcare services:
- Medicare and Medi-Cal benefits
- Long-term care
- Behavioral health
- Home and community-based services (HCBS) such as Community-Based Adult Services (CBAS) and Multipurpose Senior Services Program (MSSP).
Who is eligible for IEHP DualChoice?
People who have both Medicare and Medi-Cal. For a complete list of who is included or excluded, visit Who Qualifies?
Plans and Benefits
IEHP DualChoice integrates healthcare services to better coordinate care and improve health.
How to Enroll
To enroll, please call:
- IEHP DualChoice Medicare Team at 1-800-741-IEHP (4347), 8am-8pm (PST), 7 days a week, including holidays. TTY/TDD users should call 1-800-718-4347, OR
- Health Care Options (HCO) at 1-844-580-7272, 8am – 5pm (PST), Monday – Friday. TTY/TDD users should call 1-800-430-7077.
For more information, visit the DHCS website. By clicking on this link, you will be leaving the IEHP DualChoice website. You may also call IEHP DualChoice for help at 1-877-273-IEHP (4347), 8am – 8pm (PST), 7 days a week, including holidays. TTY/TDD users should call 1-800-718-4347 (4347).
- Plan Benefits and Cost-Sharing: Find out about plan benefits which are the types of medical care that are covered. Also view information on cost-sharing which is how much you will pay for services or prescription drugs, including monthly plan premium and co-payment.
- Part D Prescription Drugs: Get information on pharmacy benefits, IEHP network pharmacies, out-of-network coverage, pharmacy transition process, drug utilization management, and prescription mail order.
- Provider Access Information: Learn about network providers, primary care providers, specialists and how to choose a provider in our network. Read about our quality assurance activities and find out what happens if your doctor leaves our plan.
- Grievances, Coverage Determination and Appeals Process: Find out what to do if you have a problem or complaint about your medical care or Part D.
- Helpful Information: View your rights and responsibilities upon disenrollment and as a Member of IEHP. You will also find important forms for 2018 such as our Privacy Notice, Plan Transition Process and the section of CMS' website regarding Best Available Evidence.
- Service Area: Find out which zip codes in Riverside and San Bernardino counties are included in our service area.
IEHP DualChoice Cal MediConnect Plan (Medicare-Medicaid Plan) is a Health Plan that contracts with both Medicare and Medi-Cal to provide benefits of both programs to enrollees.
Information on this page is current as of October 15, 2018.
H5355_CMC_19_1059755 Accepted
Clinical Information
Go to Clinical Information Page. In this section find these resources that include printable reference documents for your convenience and ease of use:
DHCS Medi-Cal Rx
DHCS HAS ANNOUNCED A JANUARY 1, 2022 IMPLEMENTATION DATE.
IEHP will provide further information regarding the changes necessary to prepare for this implementation.
The Department of Health Care Services (DHCS) has completed its review of the Conflict Avoidance Plan (CAP) submitted by Magellan Medicaid Administration (MMA) and announced a January 1, 2022 implementation date. For additional information, please visit: www.dhcs.ca.gov.
Medi-Cal Rx remains of utmost importance to the State of California as a tool to standardize the Medi-Cal pharmacy benefit statewide under one delivery system. It will improve access to pharmacy services with a network that includes approximately 94 percent of the state’s pharmacies. Medi-Cal Rx will also apply statewide utilization management protocols to all outpatient drugs, standardizing the experience for all Medi-Cal beneficiaries and providers. Medi-Cal Rx will also strengthen California’s ability to negotiate state supplemental drug rebates with drug manufacturers, helping to reduce pharmaceutical costs.
Background Information:
On January 7, 2019, Governor Gavin Newsom issued Executive Order N-01-19 (EO-N-01-19) for achieving cost-savings for drug purchases made by the state. A key component of EO N-01-19 requires the Department of Health Care Services (DHCS) transition all Medi-Cal pharmacy services from managed care (MC) to fee for service (FFS).
Transitioning pharmacy services from MC to FFS will, among other things:
- Standardize the Medi-Cal pharmacy benefit statewide, under one delivery system.
- Improve access to pharmacy services with a pharmacy network that includes approximately 94% of the state’s pharmacies.
- Apply statewide utilization management protocols to all outpatient drugs.
- Strengthen California’s ability to negotiate state supplemental drug rebates with drug manufacturers.
- And more!
The Medi-Cal pharmacy benefits and services administered by DHCS in the FFS delivery system will be identified collectively as “Medi-Cal Rx”.
Register as a Prescriber today with Magellan to Be Ready for Medi-Cal RX!
Magellan Medicaid Administration, Inc. (MMA) will assume operations for Medi-Cal Rx on behalf of the State of California Department of Health Care Services (DHCS).
IEHP and DHCS strongly recommends our Providers to visit the new Medi-Cal Rx website as soon as possible (https://medi-calrx.dhcs.ca.gov) to:
- Register for the Magellan Medi-Cal Rx portal
- Review schedule of trainings available on the new Medi-Cal Rx Portal
- Review general information about the transition
Communication from IEHP
- September 07, 2021 - IMPORTANT UPDATE: Medi-Cal Rx Implementation on January 1, 2022. Register for the Medi-Cal Rx Provider Portal Today! (PDF)
- November 19, 2020 - Important - Medi-Cal Rx Transition Implementation Delay to April 1, 2021 (PDF)
- October 23, 2020 - Medi-Cal Rx - Transition of Medi-Cal Pharmacy Administration Services to Magellan Medicaid Administration, Inc. (PDF)
- October 08, 2020 - Medi-Cal Rx Program – Register Today as a Prescriber (PDF)
Communication from DHCS
- July 30, 2021 - Medi-Cal Rx Frequently Asked Questions (FAQs) (PDF)
- October 22, 2020 - DHCS (Medi-Cal Rx) – NCPDP Standard Payer Sheet, Version 1.0 (PDF)
- October 21, 2020 - Medi-Cal Rx Prescribers Communication (PDF)
- October 16, 2020 - Medi-Cal Rx Web Portal Registration & Training Update (PDF)
- October 01, 2020 - Medi-Cal Rx Transition of Medi-Cal Pharmacy Administration Services to Magellan Medicaid Administration, Inc. (PDF)
Please refer to the DHCS Medi-Cal Rx: Transition for additional information.
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. You can download a free copy by clicking here.
Maximum Allowable Charges (MAC)
Effective January 1, 2020, DST Pharmacy Solutions will be assuming responsibility for maintaining Maximum Allowable Cost (MAC) drug list AND reviewing and responding to MAC appeals for IEHP’s Medi-Cal line of business, in accordance with state regulations.
Please Note: There are no changes to the process for the Medicare Line of Business, which DST Pharmacy Solutions will continue to maintain.
Effective January 1, 2020, please direct all MAC appeals regardless of fill date via email to m5@dsthealth.com; or direct MAC appeals over the phone to DST Pharmacy Solutions at 1-800-522-7487, Monday through Friday, 8:00AM – 5:00PM CST.
IEHP Maximum Allowable Charges (MAC) List:
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Click here to download a free copy by clicking Adobe Acrobat Reader. By clicking on this link, you will be leaving the IEHP website.
Effective 12/26/2019 - 12/31/2019 (PDF)
Effective 12/19/2019 - 12/25/2019 (PDF)
Effective 12/12/2019 - 12/18/2019 (PDF)
Effective 12/05/2019 - 12/11/2019 (PDF)
Effective 11/28/2019 - 12/04/2019 (PDF)
Effective 11/21/2019 - 11/27/2019 (PDF)
Effective 11/14/2019 - 11/20/2019 (PDF)
Effective 11/07/2019 - 11/13/2019 (PDF)
Effective 10/31/2019 - 11/06/2019 (PDF)
Effective 10/24/2019 - 10/30/2019 (PDF)
Effective 10/17/2019 - 10/23/2019 (PDF)
Effective 10/10/2019 - 10/16/2019 (PDF)
Effective 10/03/2019 - 10/09/2019 (PDF)
Effective 09/26/2019 - 10/02/2019 (PDF)
Effective 09/19/2019 - 09/25/2019 (PDF)
Effective 09/12/2019 - 09/18/2019 (PDF)
Effective 09/05/2019 - 09/11/2019 (PDF)
Effective 08/29/2019 - 09/04/2019 (PDF)
Effective 08/22/2019 - 08/28/2019 (PDF)
Effective 08/15/2019 - 08/21/2019 (PDF)
Effective 08/08/2019 - 08/14/2019 (PDF)
Effective 08/01/2019 - 08/07/2019 (PDF)
Effective 07/25/2019 - 07/31/2019 (PDF)
Effective 07/18/2019 - 07/24/2019 (PDF)
Effective 07/11/2019 - 07/17/2019 (PDF)
Effective 07/04/2019 - 07/10/2019 (PDF)
Effective 06/27/2019 - 07/03/2019 (PDF)
Effective 06/20/2019 - 06/26/2019 (PDF)
Effective 06/13/2019 - 06/19/2019 (PDF)
Effective 06/06/2019 - 06/12/2019 (PDF)
Effective 05/30/2019 - 06/05/2019 (PDF)
Effective 05/23/2019 - 05/29/2019 (PDF)
Effective 05/16/2019 - 05/22/2019 (PDF)
Effective 05/09/2019 - 05/15/2019 (PDF)
Effective 05/01/2019 - 05/08/2019 (PDF)
Effective 04/25/2019 - 04/30/2019 (PDF)
Effective 04/18/2019 - 04/24/2019 (PDF)
Effective 04/11/2019 - 04/17/2019 (PDF)
Effective 04/04/2019 - 04/10/2019 (PDF)
Effective 03/28/2019 - 04/03/2019 (PDF)
Effective 03/21/2019 - 03/27/2019 (PDF)
Effective 03/14/2019 - 03/20/2019 (PDF)
Effective 03/07/2019 - 03/13/2019 (PDF)
Effective 02/28/2019 - 03/06/2019 (PDF)
Effective 02/21/2019 - 02/27/2019 (PDF)
Effective 02/14/2019 - 02/20/2019 (PDF)
Effective 02/07/2019 - 02/13/2019 (PDF)
Effective 01/31/2019 - 02/06/2019 (PDF)
Effective 01/24/2019 - 01/30/2019 (PDF)
Effective 01/17/2019 - 01/23/2019 (PDF)
Effective 01/10/2019 - 01/16/2019 (PDF)
Effective 01/03/2019 - 01/09/2019 (PDF)
Effective 12/27/2018 - 01/02/2019 (PDF)
Effective 12/20/2018 - 12/26/2018 (PDF)
Effective 12/13/2018 - 12/19/2018 (PDF)
Effective 12/06/2018 - 12/12/2018 (PDF)
MAC Communication/Notice(s):
12/30/2019 IEHP Medi-Cal Maximum Allowable Cost (MAC) Process Update (PDF)
Formulary
The IEHP Formulary is a continually updated list of drug products designed to reflect the most appropriate, high quality and cost-effective drug therapies.
The Inland Empire Health Plan Pharmacy and Therapeutics (P & T) Subcommittee develops and monitors the Formulary. The P & T is composed of the IEHP Chief Medical Officer, Medical Directors, Director of Pharmaceutical Services, physicians from various medical specialties, local community and clinical pharmacists. This panel reviews the medications in all therapeutic categories based on safety, clinical efficacy, and cost-effectiveness and selects the most appropriate drugs in each class.
Formulary development and maintenance is a dynamic process. The IEHP P & T Subcommittee is responsible for developing, managing, updating and administering the Formulary. The Subcommittee also ensures that the IEHP Formulary remains responsive to the needs of our members and providers.
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Click here to download a free copy by clicking Adobe Acrobat Reader. By clicking on this link, you will be leaving the IEHP website.
IEHP Medi-Cal Formulary Items:
- Medi-Cal Formulary Book (PDF)
- Medi-Cal PA Drug Criteria Summary (PDF)
- Grievances
- Medi-Cal Formulary Search Tool
- IEHP Medi-Cal Formulary Maintenance Drug List (PDF)
- IEHP Medi-Cal Floor Stock List (PDF)
IEHP DualChoice Cal MediConnect (Medicare-Medicaid Plan) Items:
- DualChoice Cal MediConnect Formulary Book (PDF)
- Grievance Coverage Determination and Appeals Process
- DualChoice Cal MediConnect Formulary Search Tool
- IEHP DualChoice Cal MediConnect Formulary Maintenance Drug List (PDF)
- 10 Reasons Why You Should Be E-prescribing Brochure (PDF)
- E-prescribing Tips (PDF)
Pharmacy Forms and Manuals
Prior Authorization/Coverage Determination
- Prescription Drug Prior Authorization (Rx PA) Form - For Medi-Cal Members (PDF)
- Request for Medicare Prescription Drug Coverage Determination - For Medicare DualChoice and Medicare DualChoice Cal MediConnect Plans - English (PDF)
- Request for Medicare Prescription Drug Coverage Determination - For Medicare DualChoice and Medicare DualChoice Cal MediConnect Plans - Spanish (PDF)
- Request for Redetermination of Medicare Prescription Drug Denial - English (PDF)
- Request for Redetermination of Medicare Prescription Drug Denial - Spanish (PDF)
Drug Request
- Request for Addition or Deletion of a Drug to the Formulary (PDF)
- Supplemental PER Form for Compounded Prescription (PDF)
- Synagis Form (PDF)
Medicare
- Hospice Form for Medicare Part D Plans (PDF)
- Medicare Prescription Drug Coverage and Your Rights - English (PDF)
- Medicare Prescription Drug Coverage and Your Rights - Spanish (PDF)
Mail Order
Other Pharmacy Provider Forms
- Appointment of Representative - English (PDF)
- Appointment of Representative - Spanish (PDF)
- Nutritional Evaluation Form - Adult (PDF)
- Nutritional Evaluation Form - Infant (PDF)
- Opioid Edit Error Report Form (PDF)
- Pain Assessment and Treatment Plan Form (PDF)
- PHQ-9 Modified for Teens (PDF)
- Request for Addition or Deletion of a Drug to the Formulary (PDF)
WIC Program Forms (California Department of Public Health)
- Pediatric Referral Form (PDF)
- WIC Referral For Pregnant Women (PDF)
- WIC Referral For Postpartum/Breastfeeding Women (PDF)
Pharmacy Manuals
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Click here to download a free copy by clicking Adobe Acrobat Reader. By clicking on this link, you will be leaving the IEHP website.
Pharmacy Network Lists
You will need Adobe Acrobat Reader 6.0 or later to view the PDF files. Click here to download a free copy by clicking Adobe Acrobat Reader. By clicking on this link, you will be leaving the IEHP website.
IEHP Pharmacy Network
Specialty Pharmacy Network List
Vaccine Pharmacy Network List
For any questions regarding Pharmacy P4P payments or reports please contact: PharmacyP4P@iehp.org
Use the menu below to view the preferred section:
- Program Overview
- Program Eligibility Criteria
- Program Timeline
- Program Components
- Pharmacy Recognition
- Pharmacy P4P Communication(s)
The IEHP Pharmacy Pay-For-Performance (P4P) Program is set up to improve pharmacy services through the IEHP community pharmacy providers. This is considered one of the first large-scale Pharmacy P4P programs in United States. Our goal is to help validate the roles of community pharmacies in promoting healthcare quality and define a pharmacy payment model for outcome-based MTM services.
The Pharmacy P4P program is steered by a workgroup, comprised of community pharmacists, chains representatives, the Senior Director of IEHP Pharmaceutical Services, and the IEHP Chief Medical Officer.
For more information about previous IEHP Pharmacy P4P Program details, please click here for 2019, please click here for 2018, or click here for 2013-2017.
Program Eligibility Criteria
In order to participate, pharmacies and pharmacists:
- Must be a contracted IEHP Community Pharmacy Provider
- Must be free of outstanding fraud, waste and abuse investigations
- Must be located within San Bernardino and Riverside Counties
- Must have an annual IEHP prescription volume of over 1,000 (500 in 6 months)
- Shall be remain in business during the entire evaluation period
- Should be credentialed by IEHP
If you are not a current provider, but would like to participate, please contact: PharmacyP4P@iehp.org
P4P Program Timeline
|
Phase |
Timeline |
|
Phase I: Pharmacy P4P Launch |
October 2013 |
|
Phase II: Pharmacy Home Program |
July 4, 2016 - December 31, 2017 |
|
Phase III: Drug Utilization Review |
January 2018 - December 2018 |
|
High Quality Pharmacy Network |
January 2019 – December 2019 |
| Medication Management Network | January 2020 – December 2020
|
|
Bi-Annual Evaluation |
Ongoing |
____ Current stage
Program Components
For 2020, the Pharmacy P4P Program will focus on Medication Management Measures.
Chronic Disease Medication Management
The following Chronic Disease Medication Management Clinical Measures are endorsed by the National Committee for Quality Assurance (NCQA) and Pharmacy Quality Alliance (PQA). If you want to learn more about NCQA and PQA, please visit their websites at www.NCQA.org and www.pqaalliance.org.
|
Measurements |
Description |
Performance Threshold |
Performance Improvement |
|
Medication Therapy for Persons with Asthma- Absence of Controller Therapy |
The percentage of patients with asthma during the measurement period who were dispensed more than 3 canisters of short acting beta2 agonist inhalers over a 90-day period and who did not receive controller therapy during the same 90-day period. |
30% |
5% |
| Asthma Medication Ratio | The percentage of members 5–64 years of age who were identified as having persistent asthma and had a ratio of controller medications to total asthma medications of 0.50 or greater during the measurement year. | 75% | 10% |
|
Medication Adherence for Cholesterol Medications |
The percentage of patients 18 years and older who met the Proportion of Days Covered (PDC) during the measurement period for medications dispensed in therapeutic classes associated with the disease state. |
85% |
7% |
|
Medication Adherence for Diabetes Medications |
The percentage of patients 18 years and older who met the Proportion of Days Covered (PDC) during the measurement period for medications dispensed in therapeutic classes associated with the disease state. |
85% |
7% |
|
High-Risk Medications |
The percentage of patients 65 years and older who were dispensed a medication classified as high-risk. |
0% |
n/a |
|
Medication Adherence for Hypertension |
The percentage of patients 18 years and older who met the Proportion of Days Covered (PDC) during the measurement period for medications dispensed in therapeutic classes associated with the disease state. |
85% |
7% |
|
Statin Use in Persons with Diabetes |
The percentage of patients ages 40-75 years who were dispensed a medication for diabetes that receive a statin medication. |
75% |
5% |
Performance Expectations:
- Performance improvement: for a specific measure, the pharmacy has met or exceeded the performance improvement percentage (%) for the assigned membership
- Performance thresholds: for a specific measure, the pharmacy has met or exceeded the performance threshold for the assigned membership
For each Clinical Measure, pharmacies will meet payment expectation for that measure if EITHER the Performance improvement OR Performance threshold is met.
- Tier 1: pharmacies meeting five (5) or more measures (for performance improvement or threshold for each measure)
- Tier 2: pharmacies meeting four (4) measures (for performance improvement or threshold for each measure)
- Tier 3: pharmacies meeting three (3) measures (for performance improvement or threshold for each measure)
Helpful Resources for Chronic Disease Management:
- IEHP provides FREE Asthma classes at our Community Resource Center. To enroll, simply call the number listed on the flyer Pharmacy Family Asthma Workshop: English (pdf) | Spanish (pdf)
Member Satisfaction
IEHP rewards pharmacies that engage members and create a member-centered experience. IEHP members are selected at random and surveys are conducted by a third-party vendor.
Recognition will be awarded to high performing pharmacies. These pharmacies will be allowed to promote their achievement to the community.
Pharmacy P4P Communication/Notice(s)
For any questions regarding Pharmacy P4P payments or reports please contact: PharmacyP4P@iehp.org
Pharmacy Quality Star Ratings
What is Pharmacy Quality Rating?
IEHP Pharmacy Quality Rating is created to help IEHP Members to find high-quality local pharmacies for your pharmacy services. This searchable system will display the rating of each participating pharmacy. The ratings range from 1 to 5 stars, with 5 stars being the best and 1 the lowest.
I thought all pharmacies were similar in their services, why do I need to find a pharmacy using this tool?
Usually, the role of a community pharmacy is to fill prescription medications and provide information about them. Some pharmacies offer additional services that may benefit you. The services include, but are not limited to: flu vaccinations, automatic refill reminders, medication reviews, and enhanced consultations. IEHP has been working with our Pharmacies to promote Pharmacy Quality Rating.
Pharmacies that consistently provide IEHP members with quality care and service will earn the highest rating of 5 Stars. These pharmacies will work with your physician to ensure all your important chronic medications are ready for pick up and that you fill them on time. If a pharmacist determines that you were prescribed a medication that is considered not safe for your age, he or she will discuss safer alternatives with you and your doctor. These are just a few examples of how a high quality pharmacy can benefit you.
Do I pick a pharmacy based on how quick they fill my prescriptions, or how close they are from my work or home?
You should select a pharmacy that helps you manage your health conditions. You may select a high-quality pharmacy near your home or work, and then compare their actual service level.
How does IEHP determine the rating?
Pharmacy Quality Rating for Members is still a new concept being developed. Currently, IEHP determines the quality rating based on a set of national guidelines. The guideline suggests that a high quality pharmacy should promote drug adherence (to remind you to take medications on a regular basis), promote the use of the right medication for certain conditions, and reduce the use of unsafe medications. In the future, IEHP will include other measures or services that are being offered by the pharmacy, complaints regarding the pharmacy, etc.
What does the rating scale mean?
The rating is on a scale of 1-5, with 1 being the lowest and 5 being the highest. Please note that some pharmacies may not have any Star Ratings, and that means we don’t have enough information to rate the pharmacy, or the pharmacy is not included in our rating system.
| Star Ratings |
Performance Description |
|---|---|
| 1 Star |
Overall pharmacy performance is well below average |
| 2 Stars |
Overall pharmacy performance is below average |
| 3 Stars |
Overall pharmacy performance is average |
| 4 Stars |
Overall pharmacy performance is good |
| 5 Stars |
Overall pharmacy performance is exceptional |
| No Star |
No information is available for this pharmacy |
Latest Update (as of 6/01/18):
Provider Communications
IEHP Pharmaceutical Services serves a variety of provider communications notices from most recent P&T Formulary changes to current PER processing changes, and even CME event invitations. The published notifications are grouped respectively for: