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SDQuitLine.ppt
Challenges with Chantix The provider sends the Rx to the pharmacy, but client never calls the QL to initiate cessation coaching. When the Rx does not reach the pharmacy, it results in a delay in med distribution. Rx scripts are signed but incomplete, illegible or wrong medication amount prescribed. Rx scripts are faxed to local pharmacy rather than central pharmacy. Lack of follow through from provider (no fax sent). Successes with Chantix Rx mailed directly to participant’s home SD address, no need to go to pharmacy which is critical in rural areas. Central pharmacy tracks amount of Rx received by participant so as not to exceed 3-month supply. Ease of QL client in receiving Rx through the mail and coaching over the phone (no travel). Physician referrals increased to 44% of all QL callers. Quit Rates have significantly improved. We use a 3-day or 72-hour window to define current, from a quit tobacco user. If a caller has used tobacco in the past 72-hours they are determined to be a current user, and if it is past that 72-hour window they are defined as already quit. We started out offering only one opportunity, then increased to two opportunities and finally to the three opportunities we currently offer. We currently have 164 participating pharmacies providing the OTC, NRT medications. Again it needs to be said, no coaching no meds The state of South Dakota’s insurance provider charges tobacco users a higher premium than non-tobacco users. When these state employees provide our insurance provider with the graduation certificate, they are able to receive their insurance for the lower premium. These side effects include depression, nightmares and other mood-related symptoms. Ran out of medication means the free 12-week supply of Chantix was exhausted. Reasons unrelated to medication include those who’ve quit using meds because they have successfully quit using tobacco or have completed the full course of treatment. Again it needs to be said, we provide a cessation
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