High Cost Medications

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Do you all have a cap on spending for medications? We screen everyone coming in and usually say no to anyone on high cost Lovenox or high cost Zyvox....a 14 day course is about $4000. What SNF can afford that cost for one resident for 2 weeks of meds?

Do you all have a cap on spending for medications? We screen everyone coming in and usually say no to anyone on high cost Lovenox or high cost Zyvox....a 14 day course is about $4000. What SNF can afford that cost for one resident for 2 weeks of meds?
My experience, the average was $45/day, up to maybe $60 (with corporate- level OK) with IV meds (if the IV supplies are obtained through central supply, versus the pharmacy), based on projected RUG (with rehab being involved heavily) after the 5 day. And yes- OTC meds were included in the total. Claritin, Prevacid, and the other 500 OTC meds the SNF pays for- $15 a day or so, easy.
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You left off the last word.....

As I sit here shaking my head as in "Come AGAIN?", I just recalled a quote from W.C. Fields: "If you can't dazzle them with brilliance, baffle them with bull." :)
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Begins with "C", 4 letters? SHIRT?? Forgot to insert that if the patient was already living LTR in the SNF, and she was wanted back (because she's a 'peach'), then she wouldn't be costed out even if her MED-A stay would probably be a $ loser. After all, a LTC 'peach' is good to find, too!

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Specializes in Gerontology, Med surg, Home Health.

The doctors here are far from inept. The ones ordering the zyvox are ID specialists.

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Specializes in ICU, CM, Geriatrics, Management.
You left off the last word...

OK. Thought I was the only one that noticed. :)

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:roflmao:
OK. Thought I was the only one that noticed. :)
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Specializes in LTC, Education, Management, QAPI.

I'm really glad you mentioned housekeeping. I'm a DON in LTC, we make it a huge point to make sure our housekeeping staff know how great they are. We *never* cut housekeeping. Unfortunately, we riff our CNA's.. We keep no more than 1:10 days, 1:12 eve, 1:20 nights and adjust to our census. You're right on the money though, times is tough!

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