Did You Know: LTC Pharmacies

If you have a client that resides in assisted living or a long term care facility, you will come across questions about drug coverage because the resident must use the pharmacy at the long-term care (LTC) facility and it’s typically at the standard Medicare Part D prices/rates which can be frustrating. They do not have an option of using an outside pharmacy. A POA (power of attorney) or family member cannot bring in medications.

These pharmacies play a crucial role in providing medications in a timely manner to their residents and work closely with the facility staff to manage, dispense, deliver medications, plus return, reuse, and dispose of unused medications. This enables medications to be purchased in bulk and sometimes at discounted prices.

LTC pharmacies are reimbursed for their services through Medicare Part A for skilled nursing facilities and Medicare Part D for prescription drugs. They may also receive payments from Medicaid, commercial insurers, and private payers.

LTC pharmacies ensure that residents of long-term care facilities receive the medications they need safely and efficiently, while complying with Medicare regulations and standards.

Learn more: CMS Review of Current Standards of Practice for Long-Term Care Pharmacy Services