We Want to Hear from You!

The new and improved annual TPC survey is here! Your responses help us plan and consider future software and program enhancements. We are always looking for ways we can provide you with additional information to better help your patients obtain the medications and supplies they need. This online survey should take less than 10 minutes to complete and we encourage all related staff to participate. Please complete the survey here by August 18, 2021.
Highlights of Important PAP Updates & Resources
New Medications Now Available in TPC for Your Patients! Did you know eligible patients can access medications for all sorts of chronic diseases and specialty products that treat more complex conditions FREE of cost? These medications can be very expensive. Be sure to review this list AND MORE with your health care providers under Research-Program Changes in TPC. Filter the Change Type column for “Medication Added” to view a more comprehensive list of recent additions. You can also print all Program Changes by entering a specified date range. Have a prescriber asking about a new medication not on the list? Let us know!

  • Herzuma (used to treat HER2+ Breast Cancer)
  • Lupkynis (used to treat Lupus)
  • Ongentys (used to treat Parkinson’s Disease)
  • Renflexis (used to treat Crohn’s Disease)
  • Truxima (used to treat Non-Hodgkin’s Lymphoma or Chronic Lymphocytic Leukemia, Rheumatoid Arthritis, Wegener’s Granulomatosis and Microscopic Polyangiitis)
  • Vyepti (used to treat Migraine/Headache)
  • Zegalogue (used to treat Hypoglycemia)
  • Zirabev (used to treat Metastatic Colorectal Cancer)

  • Reminder: Allergan products have transitioned to AbbVie and are now part of the myAbbVie Assist program.

  • For patients with insurance, including Medicare Part D, use the appeal form available in TPC to submit with the PAP application form.

  • Effective July 15, 2021, Zyprexa Relprevv has been discontinued from the Lilly Cares Patient Assistance Program. Staff is reviewing possible alternatives and will share more information soon!

  • Beginning January 1, 2022, the following medications will transition to the Viatris Patient Assistance Program: Caduet, Detrol, Detrol LA, Inspra and Relpax. Patients whose enrollment expires between September 30, 2021 and December 31, 2021 will be contacted beginning August 1, 2021 for reenrollment. Information will automatically be transferred directly to the Viatris Patient Assistance Program. Patients will need to reenroll upon the expiration of eligibility. More information will become available at Viatris.com/PAP beginning December 1, 2021.

  • Ozempic 1mg had a packaging change in May! Patients previously received 2 pens x 1.5ml pen and patients will now receive 1 pen x 3ml pen.

Be sure to check out the Program Changes & Notices in TPC for additional updates as well as the mobile medication app to search for new medications!
Mark Your Calendars for Upcoming
TPC Virtual Trainings & Monthly Support Calls
Sign up for an online TPC training session if you are new to your organization and need to learn the basics. If you currently use TPC and are looking to refresh your skills or want to learn about additional advanced features, sign up for Advanced Training.
We also host monthly calls where we provide updates and give users the opportunity for a Q & A session. It’s also a great opportunity to brainstorm and learn from other TPC users. All sessions are Eastern Standard Time. Be sure to check the website for additional dates!

TPC Beginner Training
August 12 (10am – 12pm)
September 16 (1pm – 3pm)
October 5 (10am – 12pm)

TPC Advanced Training
August 25 (10am – 12pm)
October 27 (1pm – 3pm)

Monthly Support Calls (10 – 11am)
August 18
September 15

Registration is not required to participate in the monthly calls. Zoom details are emailed out the week before and the week of the calls to current users.

Check out some of the most Frequently Asked Questions in TPC!
Now Available as of July 1, 2021! Virginia Policy Changes Expand Medicaid Eligibility for More Individuals and More Services!
Comprehensive Dental Benefit for Adults: Virginia’s Medicaid program will provide comprehensive dental benefits for adults! Dental coverage for adults enrolled in Medicaid will focus on overall oral health, prevention, and restoration. Services will include:

  • X-rays and examinations
  • Cleanings
  • Fillings
  • Root canals
  • Gum-related treatment
  • Dentures
  • Tooth extractions and other oral surgeries
  • Other appropriate general services, such as anesthesia.

Click here for resources for patients and providers regarding the benefit. https://vahealthcatalyst.org/adultdentalbenefit/. You can also click here to search for a dental safety net clinic in Virginia that accepts Medicaid.

FAMIS Prenatal – A New Benefit for Pregnant Women: FAMIS Prenatal, will cover income-eligible uninsured pregnant women, regardless of their immigration status. Women in households with incomes at or below 205% of the Federal Poverty Level (FPL) can now qualify to have full coverage for the duration of their pregnancies and 60 days postpartum, even if they do not have legal immigration status. Here are some important FAQs:

  • What benefits are available through FAMIS Prenatal? Women covered by FAMIS Prenatal have access to full, comprehensive benefits, including: doctor visits, lab services, prescription drugs, dental care, and more. Labor and delivery are covered, as well as all prenatal services.

  • How do I apply for FAMIS Prenatal? The application for FAMIS Prenatal is the same as for other Medicaid/FAMIS programs. It can be completed online at www.commonhelp.virginia.gov, by phone via Cover Virginia at 855.242.8282, or on paper and mailed or dropped off at the applicant’s local Department of Social Services.

  • Can I be eligible for FAMIS Prenatal even if I have Deferred Action for Childhood Arrival (DACA) status? YES! FAMIS Prenatal will extend coverage to pregnant women who were previously ineligible due to their immigration status. DACA recipients and women who are undocumented may qualify for FAMIS Prenatal.

  • Where can I find out more about FAMIS Prenatal? The Virginia Department of Medical Assistance Services (DMAS) has created a Fact Sheet. Additional information is available in multiple languages here.

Health Insurance Marketplace Reopened until August 15, 2021: Virginians who need health insurance, but who are above the income limits for Medicaid/FAMIS coverage, have another chance to purchase 2021 coverage through the Health Insurance Marketplace until August 15, 2021. And, as a result of certain provisions in the American Rescue Plan Act (ARPA), more Virginians than ever can receive financial help to purchase a plan!

Virginians can apply for health insurance through the Marketplace on their own at www.healthcare.govThose who need help understanding available coverage options, or applying for Marketplace coverage can obtain it by contacting a local Navigator or Certified Application Counselor (CAC), who is specially-trained to help Virginians weigh their options on the Marketplace. Visit coverva.org/findhelp for more information.