处方药计划
The issue of drug abuse strikes at the heart of communities across the USA, igniting a collective urgency to combat its destructive impact. From the devastating toll on individuals and families to the broader societal ramifications, the repercussions of drug abuse are far-reaching and profound. Hence, we at Elkin Insurance find it imperative to remove drugs from our homes and communities resonates deeply. Safe drop-off locations provide a tangible solution, offering a secure avenue for disposing of unused or expired medications. This proactive approach not only mitigates the risk of accidental ingestion or misuse but also disrupts the cycle of substance dependency by eliminating access to potentially harmful substances. By actively participating in this initiative, we not only safeguard our households but also contribute to the larger effort of safeguarding public health and fostering safer, healthier communities for all.
什么是医疗保险处方药计划 (PDP)？
Medicare Part D 处方药计划也称为 PDP。这些是可以通过私人保险公司购买的独立计划。PDP 为处方药和药物提供保障，也可能涵盖一些疫苗。
原始医疗保险（A 部分和 B 部分）不提供处方药保险。如果您拥有原始医疗保险并且需要处方药保险，则需要注册 D 部分处方药计划。
PDP 涵盖哪些内容？
计划的费用和所涵盖的具体药物因地点和供应商而异。每个计划都会有一份其所涵盖的具体药物清单，称为处方集，但法律要求所有 PDP 都涵盖某些常见药物类型。
Medicare Part D 计划必须涵盖带状疱疹疫苗，但它们也可能涵盖其他疫苗，例如用于流感和肺炎的 Tdap。除了带状疱疹疫苗之外，还涵盖哪些疫苗将取决于您的计划。您可以从医疗补助和医疗保险服务中心 (CMS) 或直接与计划提供商交谈，了解有关 Medicare 和疫苗覆盖范围的更多信息。
加入 D 部分处方药计划
要获得 PDP 计划，您必须直接向计划提供商注册。除非您因超过 65 岁仍在工作而有资格享受特殊注册期，否则最好在您首次有资格享受 Medicare 时注册 D 部分。这将在您的初始注册期内。
如果您在首次符合资格时未注册 D 部分，并且不符合特殊注册期的资格，则可能面临经济处罚。您可以在此博客中了解有关经济处罚的信息。
我可以将 PDP 计划与其他医疗保险结合起来吗？
是的，您可以将 Medicare 保险部分与 D 部分计划相结合。独立 PDP 可以与原始 Medicare（A 部分和 B 部分）以及某些类型的 Medicare Advantage 计划（例如不包含药物保险的 Medicare 医疗储蓄账户计划或私人按服务收费计划）配合使用。
您可以拥有某些类型的联邦医疗保险优势计划的独立处方药计划，只要该计划符合以下要求：
无法提供处方药保险
选择不提供处方药保险
如果您在首次注册后决定更改 PDP，您可以在每年的 Medicare 年度注册期间（10 月 15 日开始，12 月 7 日结束）进行更改。
D 部分处方药保险对于确保您能获得所需的所有药物以过上最健康的生活非常重要。
FDA’s Flush List for Certain Medicines
If you received specific disposal instructions from your healthcare provider (e.g., doctor, pharmacist) for your unused or expired medicine, you should follow those instructions to dispose of your medicine. The best disposal option is to find a drug take back location, which may be found in retail, hospital, or clinic pharmacies; and/or law enforcement facilities.
If you don’t have a drug take back location near you, check the FDA’s flush list to see if your medicine is on the list. Medicines on the flush list are those (1) sought-after for their misuse and/or abuse potential and (2) that can result in death from one dose if inappropriately taken. If children, adults, or pets in your home accidentally or intentionally ingest, touch, misuse, or abuse a medicine on the flush list, they can suffer serious consequences including death. An example of a medicine on the flush list is fentanyl transdermal system (also known as a fentanyl patch), which contains an opioid. If a drug take-back program is not available, flushing medicines on the flush list helps keep everyone in your home safe by making sure these powerful and potentially dangerous medicines (when used inappropriately) are not accidentally or intentionally ingested, touched, misused, or abused.
Remember, don’t flush your medicine unless it is on the flush list.
Impact of flushing medicines on the environment:
FDA recognizes that the recommendation to flush a few specific medicines when a take back program is not readily available raises questions about the impact of the medicines on the environment and the contamination of surface and drinking water supplies.
In an effort to address this concern, FDA staff published a paper entitled "Risks Associated with the Environmental Release of Pharmaceuticals on the U.S. Food and Drug Administration ‘Flush List’". This paper evaluates the environmental and human health risks associated with the flushing of 15 active ingredients found in these medicines. FDA concluded that these medicines present negligible risk to the environment. However, some additional data would be helpful for confirming this finding for some of the medicines.
FDA believes that the known risk of harm, including toxicity and death, to humans from accidental exposure to medicines on the flush list far outweighs any potential risk to human health and the environment from flushing these unused or expired medicines. Remember only flush medicines on the flush list if a take-back option is not readily available. FDA will continue to conduct risk assessments as a part of our larger activities related to the safe use and disposal of medicines.
Check out the Medication Disposal Q&A for more information about flushing.
Drugs That Contain Opioids
Any drug that contains the word “buprenorphine”
BELBUCA, BUAVAIL, BUTRANS, SUBOXONE, SUBUTEX, ZUBSOLV
Any drug that contains the word “fentanyl”
ABSTRAL, ACTIQ, DURAGESIC, FENTORA,ONSOLIS
Any drug that contains the word “hydrocodone” or “benzhydrocodone”
APADAZ, HYSINGLA ER, NORCO, REPREXAIN, VICODIN, VICODIN ES, VICODIN HP, VICOPROFEN, ZOHYDRO ER
Any drug that contains the word “hydromorphone”
Any drug that contains the word “meperidine”
Any drug that contains the word “methadone”
Any drug that contains the word “morphine”
ARYMO ER, AVINZA, EMBEDA, KADIAN, MORPHABOND ER, MS CONTIN, ORAMORPH SR
Any drug that contains the word “oxycodone”
CODOXY, COMBUNOX, OXADYDO (formerly OXECTA), OXYCET, OXYCONTIN, PERCOCET, PERCODAN, ROXICET, ROXICODONE, ROXILOX, ROXYBOND, TARGINIQ ER, TROXYCA ER, TYLOX, XARTEMIS XR, XTAMPZA ER
Any drug that contains the word “oxymorphone”
Any drug that contains the word “tapentadol”
Drugs That Do Not Contain Opioids
Any drug that contains the term “sodium oxybate” or “sodium oxybates”
Diazepam rectal gel
Methylphenidate transdermal system
Dispose "Non-Flush List" Medicine in Trash
If no drug take back sites, locations, or programs are available in your area, and there are no specific disposal instructions (such as flushing) in the medication guide or package insert, you can follow these simple steps to dispose of most medicines in your trash at home*:
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Mix medicines (liquid or pills; do not crush tablets or capsules) with an unappealing substance such as dirt, cat litter, or used coffee grounds;
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Place the mixture in a container such as a sealed plastic bag;
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Throw away the container in your trash at home; and
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Delete all personal information on the prescription label of empty medicine bottles or medicine packaging, then trash or recycle the empty bottle or packaging.
