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SB 493: Ordering Tests

SB 493: Ordering Tests. Team 6. Ordering Tests. SB 493 authorizes pharmacists to order and interpret tests related to managing a patient’s medication regimen 4052(a)(12) “Order and interpret tests for the purpose of monitoring and managing the efficacy and toxicity of drug therapies .”.

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SB 493: Ordering Tests

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  1. SB 493: Ordering Tests Team 6

  2. Ordering Tests • SB 493 authorizes pharmacists to order and interpret tests related to managing a patient’s medication regimen 4052(a)(12) “Order and interpret tests for the purpose of monitoring and managing the efficacy and toxicity of drug therapies.”

  3. What Training/Resources Are Needed? • Any pharmacist can order and interpret appropriate labs to manage the patient disease and drug therapy • CLIA waiver if doing BG or Cholesterol screening at the pharmacy • Contract with laboratories (LabCorp or Diagnostic) for lab forms

  4. How Will This Service Operate Once Implemented? • Pharmacists must ensure that the ordering tests is done in coordinating with the patient’s PCP or diagnosing prescriber • Transmitting written notification to the patient’s diagnosing prescriber • Entering the order in patient record system shared with the prescriber

  5. How Will Your Pharmacy Get Paid for This Service? • According to CMS, to bill Medicare you need the CPT (Current Procedural Terminology) code for each individual lab • Contract with LabCorp or Diagnostic laboratories • Cash

  6. What Steps Need to be Taken for This Service to Become a Reality? • Ensure all pharmacists on board get appropriate trainings on the appropriate tests to order • Contract with laboratories • CLIA waiver if doing BG and cholesterol screenings

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