Members: CareAdvantage: Personal Pharmacist

Personal Pharmacist Program

This program is available to certain qualified CareAdvantage (HMO) members to help them get the best results from their medications. The pharmacists who provide this service are trained by Outcomes Pharmaceutical Health Care. This program is free to members. FAQs

What are the requirements to qualify?

Members need to:

Have a diagnosis of at least two of the following medical conditions:

Diabetes	Hyperlipidemia
Asthma	HIV/AIDS/chronic viral disease
Parkinson’s disease	chronic pain
Congestive heart failure	Multiple sclerosis
Coronary artery disease	Cancer
Chronic renal failure	Chronic obstructive pulmonary disease
Hypertension	Hepatitis C

Be taking three or more drugs that are covered by the Part D prescription drug benefit.

Have expected costs of at least $4,000 in one year under the Medicare Part D drug benefit.

HPSM will choose members whose Medicare covered part D drugs equal $1,000 or more during a three-month period.

Program Services

Medication check-up
You may take all your medications and over-the-counter products to an Outcomes Personal Pharmacist, and he/she will check each one with you. This will help identify any duplicates or conflicts and help you organize your medications.

Prescription drug patient education
When starting a new medication, an Outcomes Personal Pharmacist will explain what it does and how to take it. The pharmacist will give you the extra attention you need to make sure your medications are working for you and you are not having any problems.

Prescriber consultation
An Outcomes Personal Pharmacist will work with you and your doctor(s) to take care of your medication needs. This includes prescription and non-prescription drugs.

Call our CareAdvantage Unit for more information and to sign up

1-866-880-0606 or 650-616-2174

Office hours: 8 a.m.to 5 p.m.
Monday through Friday

TTY 1-800-735-2929

Call center hours: 8 a.m. to 8 p.m.
Monday through Sunday

Frequently Asked Questions

Why do I need an Outcomes Personal Pharmacist?
An Outcomes Personal Pharmacist will help you understand your medications and confirm that they are right for you and that you are taking them correctly. This can help improve your health and lower you risk of having a serious reaction to your medications, helping to avoid a visit to the emergency room.

Are all pharmacists in the CareAdvantage pharmacy network also Outcomes Personal Pharmacists?
No. Not all pharmacists in the CareAdvantage pharmacy network participate in this program. Outcomes Personal Pharmacists have been trained to provide extra services. The training course is open to any pharmacist. Ask your regular pharmacist if he or she participates.

Can I go to my regular pharmacy and to an Outcomes Personal Pharmacist too?
Yes. Going to an Outcomes Personal Pharmacist is an additional CareAdvantage benefit. You can continue to go to any CareAdvantage network pharmacy to get your medications.

Will I have to pay to see an Outcomes Personal Pharmacist?
No. These services are free.

Will my doctor know if my prescriptions need to be changed?
Yes. Your Outcomes Personal Pharmacist may make recommendations to you and your doctor(s). Only your doctor can change your prescription.

Will I be required to use an Outcomes Personal Pharmacist?
No. Outcomes Personal Pharmacists are an added benefit of your membership. They are there to help, but you do not have to use them.

How do I get started?
If you think you qualify call our CareAdvantage Unit to let us know you want to sign up. Our call center hours are Monday through Sunday, 8 a.m. to 8 p.m.

Can I change my mind after I sign up?
Yes. If you sign up and later find that you do not like the program, you can call the CareAdvantage Unit to end your participation. But you will remain eligible to join this program again for the rest of the calendar year.