Hi Elizabeth,
For me, it depends on the patient. Patients who never miss an appointment and are consistent with labs, etc., I give 6 months of refills, and if needed, will extend that. On the other hand, patients who are in need of labs, etc., I keep tighter control of the meds to make sure that patient stays engaged in care and not merely taking meds without appropriate STI screening, labs, etc. I have some patients that I see every 6 months, so have no problem giving them enough meds to last until they, and perhaps with a little overlap.
Gary
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Gary F. Spinner PA,MPH,AAHIVS
Medical Director
Ryan White HIV/AIDS Program
Southwest Community Health Center
Bridgeport, CT
gspinner@swchc.orgGary.spinner@aya.yale.edu------------------------------
Original Message:
Sent: 12-27-2021 23:09
From: Elizabeth Horvath
Subject: Year Supply of ARTs
I had a patient request a year supply of their Biktarvy via their Mail Order pharmacy. I usually do 90 day supply as preferred by the insurance company and patient, but got the request for 90 days with 4 refills!
The patient is stable and undetectable; considering maybe a 6 month supply. I am seeing the patient for HRT/Transgender therapy every 3 months, so I will still be seeing them likely. They have typically been consistent with care.
Does anyone have any patients they do 1 year or 6 months supply, or do you stick to 3 months no matter the patient. What are your exceptions?
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Elizabeth Horvath
Avenue360 Health & Wellness
Houston TX
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