compounding pharmacy
In a bold move, BAC Medical Ancillary Care (BACMAC) has partnered with Health Plus Rx Services (HPRS), an innovative new compounding pharmacy platform, which we are now marketing to doctors nationwide.
Patient demand for alternative treatment methods has never been higher. Patients read the news like everyone else, and according to CDC statistics:
- 25% of patients on long-term opioid therapy become addicted
- In nearly 50% of accidental opioid overdoses, the patient was taking prescription medication
- Overdose deaths have QUADRUPLED since 2000.
One of the biggest frustrations doctors and patients have with utilizing compounded medications is the high denial rate from insurance providers. That is, until now.
Overview of Health Plus Rx Services
HPRS' innovative pharmacy platform was developed to adjudicate claims at an astounding >97% for commercially-insured patients. This is done using their proprietary algorithm, developed and managed by their Pharmacy Board, which consists of pharmacists from around the country, as well as billing experts from the largest pharmacy benefit managers (PBMs).
HPRS' pharmacy platform is a leading developer and provider of custom topical treatments for debilitating pain conditions, scarring, inflammation, nausea, allergies and more. Their proprietary transdermal formulations are the product of extensive research, testing, and proven experience. The ingredients and components that make up every formulation are specifically selected for their synergistic qualities and collaborative effect on certain pain modalities and conditions.
The Benefits of Topical Medications Include:
• Transdermal application minimizes absorption into the blood stream
• Direct delivery to pain receptors
• Blocks portions of the inflammatory cascade
• Reduces oxidative stress
• Reduces organ toxicity
• Produces fewer side effects
• Reduces possibility of adverse drug interactions
• Quickly provides measurable and identifiable pain relief
• Greater effectiveness and results for patients
• Improved patient compliance and outcomes
• Covered by most insurance providers
• A dedicated customer service team available to assist medical professionals and patients
• All medicinal ingredients are FDA approved
Most Common Indications Include:
• Upper/Lower Back Pain
• Arthritic Pain
• Musculoskeletal Pain
• Neuropathic Pain
• Cervical Radiculopathy
• Post Surgical Pain
• Diabetic Neuropathy
• Phantom Limb Pain
• Sports-Related Pain
• Fibromyalgia
• TMJ Pain
• Plantar Fasciitis
• Tendonitis
• Epicondylitis
• Scarring
• Inflammation
• Muscle Spasms
Patient Information
You the patient have been prescribed specialty topical and/or specialty oral medications that will be filled through HPRS' pharmacy platform. These specialty medications are not typically available at general pharmacies. Specialty medications provide unique advantages as part of your individualized treatment plan. Their pharmacy is experienced in providing patients with these specialty medications and supporting patients through a treatment plan.
What to Expect
• Your Physician will provide the prescription information to HPRS' pharmacy.
• If you opted-in and qualify for Prescription Dispensing including electronic test notification, you will be electronically notified that your prescriptions and refills will be automatically and conveniently shipped to you.
• If you have not been contacted within two business days after your medical appointment, please call HPRS' pharmacy.
Insurance Coverage and Patient Out-of-Pocket Costs
• HPRS' pharmacy will diligently work with your insurance company and Physician in an effort to get some or all of your prescriptions covered by your insurance.
• If the originally prescribed medication is not covered by your insurance, your Physician may authorize a therapeutic equivalent medication.
• If you opted-in and qualify for Pharmaceutical Manufacturer Coupon Programs and Copay Assistance Programs, some if not all of your out-of-pocket costs may be covered.
Patient Assistance Programs
• HPRS' pharmacy participates in many patient assistance programs.
• Pharmaceutical Manufacturer Coupon Programs and Copay Assistance Programs allow qualified, commercially insured opted-in patients (private insurance plans) to reduce their out-of-pocket copay costs.
• There are federal, state, and / or pharmaceutical manufacturer requirements that must be met in order to qualify for assistance programs.
• When the terms and conditions are met by eligible opted-in patients, their out-of-pocket costs may be reduced, significantly reduced, or reduced to $0.
• To discuss your eligibility, please call their pharmacy.
Prescription Treatment Plan
• You have been prescribed a specialty medication treatment plan that relies on patient compliance and adherence to achieve your best outcome.
• Depending on severity, many treatment plans utilize multiple specialty medications and the course of therapy may be many months to many years.
• HPRS' pharmacy will follow the duration of your prescription treatment plan as directed by your Physician to ensure an optimal treatment outcome unless you or your Physician notify us that your course of therapy has been discontinued.
Convenient Free Delivery
• Your prescriptions will be shipped for convenient delivery via FedEx or local courier at no charge to you. You will receive your prescriptions within two to three business days after approval by your prescription insurance plan.
• To check the status of your new or refill prescriptions, please call their pharmacy.
Management Service Organization (MSO) Revenue Model (K1 Model Also Available)
Frequently Asked Questions:
What is an MSO?
A healthcare MSO is an organization owned by a group of investors in conjunction with physicians.
What is the purpose of an MSO?
MSOs generally provide practice management and administrative support services to individual physicians and group practices. One purpose of MSOs is to relieve physicians of non-medical business functions so that they can concentrate on the clinical aspects of their practice.
Because MSOs purchase their services as a group instead of individually, they can generally achieve economies of scale and provide additional cost savings to physicians.
How are MSO’s being used today?
Today MSO’s are being created as vehicles for physicians and their practices to improve revenue streams. MSO’s are considered a non-investment for Physicians because of their full compliance with the 8 Texas State Safe Harbor rules and the creation of a Sub-LLC that doesn’t own a lab or pharmacy. There are several MSO’s today that create too much risk for the physician by not providing the correct legal structure. We’ve evaluated several MSO’s and identified those that have taken the time to provide the right legal structure, best and lowest business expenses, and highest value products and services for the physician.
Why would a Physician choose to be involved in an MSO?
Reimbursements continue to decline, MSO’s provide a focus on improving revenue through the use of ancillary services in a Physicians practice that is already used on a regular basis. Why send patients somewhere else to get services like pre-op blood work or toxicology screening when the Physician can rely on the MSO to find the right lab or pharmacy with the best service and lowest cost and also provide a return for the MSO members.
Reliable and Accurate Results
What is the typical MSO start up cost for a physician?
The Physicians cover typical startup costs for each MSO. There are multiple MSO’s in the market today with start up fees ranging from $1,000/Physician to $31,000/Physician. Most MSO’s are forming with 4-6 Physicians with as many as 10.
What specialties are involved with MSO’s?
• Urology
• Orthopedics
• Podiatry
• Spine
• Chiropractic
• Gynecology
• Primary Care
• Colon rectal
• General Surgery
• Gastrointestinal
Do MSO’s disrupt patient care?
MSO are purposed to reduce non-clinical work for a Physician and its staff. All the MSO’s in the market today will provide in office support for client relations, billing questions, and prescription follow up.
Patient demand for alternative treatment methods has never been higher. Patients read the news like everyone else, and according to CDC statistics:
- 25% of patients on long-term opioid therapy become addicted
- In nearly 50% of accidental opioid overdoses, the patient was taking prescription medication
- Overdose deaths have QUADRUPLED since 2000.
One of the biggest frustrations doctors and patients have with utilizing compounded medications is the high denial rate from insurance providers. That is, until now.
Overview of Health Plus Rx Services
HPRS' innovative pharmacy platform was developed to adjudicate claims at an astounding >97% for commercially-insured patients. This is done using their proprietary algorithm, developed and managed by their Pharmacy Board, which consists of pharmacists from around the country, as well as billing experts from the largest pharmacy benefit managers (PBMs).
HPRS' pharmacy platform is a leading developer and provider of custom topical treatments for debilitating pain conditions, scarring, inflammation, nausea, allergies and more. Their proprietary transdermal formulations are the product of extensive research, testing, and proven experience. The ingredients and components that make up every formulation are specifically selected for their synergistic qualities and collaborative effect on certain pain modalities and conditions.
The Benefits of Topical Medications Include:
• Transdermal application minimizes absorption into the blood stream
• Direct delivery to pain receptors
• Blocks portions of the inflammatory cascade
• Reduces oxidative stress
• Reduces organ toxicity
• Produces fewer side effects
• Reduces possibility of adverse drug interactions
• Quickly provides measurable and identifiable pain relief
• Greater effectiveness and results for patients
• Improved patient compliance and outcomes
• Covered by most insurance providers
• A dedicated customer service team available to assist medical professionals and patients
• All medicinal ingredients are FDA approved
Most Common Indications Include:
• Upper/Lower Back Pain
• Arthritic Pain
• Musculoskeletal Pain
• Neuropathic Pain
• Cervical Radiculopathy
• Post Surgical Pain
• Diabetic Neuropathy
• Phantom Limb Pain
• Sports-Related Pain
• Fibromyalgia
• TMJ Pain
• Plantar Fasciitis
• Tendonitis
• Epicondylitis
• Scarring
• Inflammation
• Muscle Spasms
Patient Information
You the patient have been prescribed specialty topical and/or specialty oral medications that will be filled through HPRS' pharmacy platform. These specialty medications are not typically available at general pharmacies. Specialty medications provide unique advantages as part of your individualized treatment plan. Their pharmacy is experienced in providing patients with these specialty medications and supporting patients through a treatment plan.
What to Expect
• Your Physician will provide the prescription information to HPRS' pharmacy.
• If you opted-in and qualify for Prescription Dispensing including electronic test notification, you will be electronically notified that your prescriptions and refills will be automatically and conveniently shipped to you.
• If you have not been contacted within two business days after your medical appointment, please call HPRS' pharmacy.
Insurance Coverage and Patient Out-of-Pocket Costs
• HPRS' pharmacy will diligently work with your insurance company and Physician in an effort to get some or all of your prescriptions covered by your insurance.
• If the originally prescribed medication is not covered by your insurance, your Physician may authorize a therapeutic equivalent medication.
• If you opted-in and qualify for Pharmaceutical Manufacturer Coupon Programs and Copay Assistance Programs, some if not all of your out-of-pocket costs may be covered.
Patient Assistance Programs
• HPRS' pharmacy participates in many patient assistance programs.
• Pharmaceutical Manufacturer Coupon Programs and Copay Assistance Programs allow qualified, commercially insured opted-in patients (private insurance plans) to reduce their out-of-pocket copay costs.
• There are federal, state, and / or pharmaceutical manufacturer requirements that must be met in order to qualify for assistance programs.
• When the terms and conditions are met by eligible opted-in patients, their out-of-pocket costs may be reduced, significantly reduced, or reduced to $0.
• To discuss your eligibility, please call their pharmacy.
Prescription Treatment Plan
• You have been prescribed a specialty medication treatment plan that relies on patient compliance and adherence to achieve your best outcome.
• Depending on severity, many treatment plans utilize multiple specialty medications and the course of therapy may be many months to many years.
• HPRS' pharmacy will follow the duration of your prescription treatment plan as directed by your Physician to ensure an optimal treatment outcome unless you or your Physician notify us that your course of therapy has been discontinued.
Convenient Free Delivery
• Your prescriptions will be shipped for convenient delivery via FedEx or local courier at no charge to you. You will receive your prescriptions within two to three business days after approval by your prescription insurance plan.
• To check the status of your new or refill prescriptions, please call their pharmacy.
Management Service Organization (MSO) Revenue Model (K1 Model Also Available)
Frequently Asked Questions:
What is an MSO?
A healthcare MSO is an organization owned by a group of investors in conjunction with physicians.
What is the purpose of an MSO?
MSOs generally provide practice management and administrative support services to individual physicians and group practices. One purpose of MSOs is to relieve physicians of non-medical business functions so that they can concentrate on the clinical aspects of their practice.
Because MSOs purchase their services as a group instead of individually, they can generally achieve economies of scale and provide additional cost savings to physicians.
How are MSO’s being used today?
Today MSO’s are being created as vehicles for physicians and their practices to improve revenue streams. MSO’s are considered a non-investment for Physicians because of their full compliance with the 8 Texas State Safe Harbor rules and the creation of a Sub-LLC that doesn’t own a lab or pharmacy. There are several MSO’s today that create too much risk for the physician by not providing the correct legal structure. We’ve evaluated several MSO’s and identified those that have taken the time to provide the right legal structure, best and lowest business expenses, and highest value products and services for the physician.
Why would a Physician choose to be involved in an MSO?
Reimbursements continue to decline, MSO’s provide a focus on improving revenue through the use of ancillary services in a Physicians practice that is already used on a regular basis. Why send patients somewhere else to get services like pre-op blood work or toxicology screening when the Physician can rely on the MSO to find the right lab or pharmacy with the best service and lowest cost and also provide a return for the MSO members.
Reliable and Accurate Results
What is the typical MSO start up cost for a physician?
The Physicians cover typical startup costs for each MSO. There are multiple MSO’s in the market today with start up fees ranging from $1,000/Physician to $31,000/Physician. Most MSO’s are forming with 4-6 Physicians with as many as 10.
What specialties are involved with MSO’s?
• Urology
• Orthopedics
• Podiatry
• Spine
• Chiropractic
• Gynecology
• Primary Care
• Colon rectal
• General Surgery
• Gastrointestinal
Do MSO’s disrupt patient care?
MSO are purposed to reduce non-clinical work for a Physician and its staff. All the MSO’s in the market today will provide in office support for client relations, billing questions, and prescription follow up.
Prescription |
Treatment |
Plans |
Include: |
Arthritis - Osteo Arthritis - Rheumatoid Breast Mastitis Bursitis Carpal Tunnel Syndrome Chemo Induced Neuropathy Combination Pain Dermatitis Diabetic Neuropathy Eczema |
Epicondylitis Failed Back Syndrome Fibromyalgia Fungus Headaches Inflammatory Pain Inflamed Muscles Keloids & Old Scars Migraine Prevention Migraine Treatment Muscle Pain & Inflammation Muscle |
Strains & Sprains Myofascial Pain Nail Fungus - Onychomycosis Neuropathic Pain Peripheral Neuropathy Phantom Limb Pain Plantar Fasciitis Post Laminectomy Post Radiation Inflammation |
Post-Surgical Scars Post-Surgical Wash Psoriasis Radiculopathy Rhinitis Rosacea Spasticity Tendonitis Tension Headaches Trigeminal Neuralgia Warts Wellness Deficiencies Wound Care |
Sample Prescription Pads and National Survey on Prescription Creams to Reduce Pain
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To learn more, please call 800.240.9473 today.
