Daptomycin Price Transparency

Daptomycin  Brand Name Cubicin Average Wholesale Price  (AWP) is $495.61 per bag. AWP is not the price your pharmacy pays. The price your pharmacy pays can be 40-50% less than AWP.  The pharmacy will pay between $250.00 to $290.00 per bag of Daptomycin.  Check the price you are paying for Daptomycin and compare. This price does not include the bag solution and IV supplies. This IV is extremely expensive.  If a patient has an order for Q24 hours for 10 days, the total cost of the drug alone could be over $2,900. Daptomycin is an antibiotic used to treat serious bacterial infections such as MRSA. Daptomycin injection is in a class of medications called cyclic lipopeptide antibiotics. It works by killing bacteria.  There are few alternatives to Daptomycin/Cubicin since there are no other drugs in it’s class. Partner Care Pharmacy was founded on Drug Transparency.  Our ALL INCLUSIVE per diem clients do not pay for “outliers” or “carve outs” with Daptomycin (and all IV medications) included in their rate and know the prices they should be paying.  

Do facility staff need annual TB Testing?

ANSWER:  As of May, 2019 the Center for Disease Control updated their 2005 recomendation that all health care personnel have annual screening for Tuberculosis. Here is the link for the CDC guidelines All health care personnel should have a RISK ASSESSMENT Before starting a job workers should receive the Risk Assessment, Symptom screening and a TB test.  After that initial test, no more testing (annual testing) is recommended for workers unless there is a know exposure to tuberculosis.

ASK THE PHARMACIST… about insulin sliding scales

Question: Sliding Scale orders for insulin is time consuming and sometimes confusing. Is there a better way to prescribe insulin for elderly patients? Answer: According to recent guidelines published in February 2017 by the American Diabetes Association sliding-scales are NOT RECOMMENDED in long-term care. Diabetes affects up to 33% of patients in long-term care facilities The most commonly prescribed insulin therapy for patients in long-term care is sliding-scale insulin (SSI), the use of finger-stick blood glucose testing to assess the need for insulin administration based on current blood glucose levels. Its sole use for long-term treatment is specifically not recommended Recent updates to several published guidelines, including CMS, the Beers criteria, the American Medical Directors Association, and the American Diabetes Association regarding the use of SSI-only insulin regimens for elderly patients in long-term care all advise simplified treatment regimens and avoidance of “sliding-scale” regimens. Below is a summary of the recommendations: Hypoglycemia risk is the most important factor in determining glycemic goals due to the catastrophic consequences in this population. Simplified treatment regimens are preferred and better tolerated. Sole use of SSI should be avoided. Liberal diet plans have been associated with improvement in food and beverage intake in this population. To avoid dehydration and unintentional weight loss, restrictive therapeutic diets should be minimized. Physical activity and exercise are important

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ASK THE PHARMACIST…about Pneumococcal vaccines

Question:  Is there a difference between pneumococcal vaccines? Answer:  Since 2005, Centers for Medicare and Medicaid Services required nursing home to ensure that their residents receive pneumococcal vaccinations.  Facilities must offer pneumococcal bacteria: Prevnar, Prevnar13(PCV13), Synflorix and Pneumovax23(PPSV23).  There are differences in the way that they are made.  Prevnar, Prevnar 13 and Synflorix are conjugate vaccines, while Pneumovax23 is polysaccharide vaccines. Prevnar offers protection against 7 common strains of pneumococcal bacteria, Synflroix against 10 types, Prevnar13 against 13 types and Pneumovax23 against 23 strains of the bacteria. According to recent guidelines, the Advisory Committee in Immunization Practices (ACIP) recommends sequential administration of 2 pneumococcal vaccines for adults over 65 years of age.  CMS guidelines recommends the administration of Prevnar 13 followed by Pneumovax23 6 to 12 months later. Those in the 19 to 64 age group are still recommended to receive one dose of Pneumova23 every 5 years.  The decision is based on age group and if the patient has been vaccinated previously.

ASK THE PHARMACIST…about Vitamin D deficiencies

Question:  What are your recommendations for Vitamin D supplements? Answer:  The best way to get your daily dose of Vitamin D is at your door, sunshine!  Vitamin D is essential for bone health.  In the elderly the risk of falling has been attributied to vitamin D deficiency due to muscle weakness.  Memory loss may also be seen in older adults because of calcium levels in the brain. Most of us receive vitamin D in our diets with fortified foods, such as milk, cereal, orange juice and yogurt.  Many doctors will prescribe a vitamin D supplement to ensure you have adequate levels.  

ASK THE PHARMACIST…about FDA hand sanitizer warnings

Question:  I see hand sanitizer dispensers everywhere I go, from the grocery store to the bank.  I have heard that you can “over use” this type of hand washing, is that true? Answer:  The FDA supports the CDC’s recommendation to use plain soap and water to wash your hands.  When water is not readily available, a hand sanitizer may be a suitable alternative. The FDA is concerned about hand sanitizer’s ingredients and is undertaking a review of active ingredients used in over-the-counter antiseptic hand wash products.  They are also looking at the safety and effectiveness of the different brands.  There is growing concerns about the health risks of absorbing the anti-germ ingredients of ethanol, alcohol and a type of chloride into your body after repeated daily use. Regulators are also concerned about possible links between use of antiseptic chemicals and the emergence of superbug bacteria, which are resistant to antibiotics.  Go to this link to see the FDA’s option of hand sanitizers. To answer your question, skip the hand sanitizer dispensers and purell tubes and head to the closest sink.  Soap and water is not harmful and is the most effective way to prevent the spread of infection.