Help uninsured and underinsured patients get prescription discounts

Prescription Assistance Programs Overview

Using 340B savings to help uninsured and underinsured patients obtain their prescriptions may help keep patients healthier and assist in demonstrating 340B program integrity.

Many hospitals and health systems give back to their patients through community benefit or charity care programs. Macro Helix assists covered entities participating in the 340B Drug Pricing Program administered by the Health Resources and Services Administration (HRSA) in expanding this outreach to indigent patients via Prescription Assistance Programs.

Why Use 340B Savings?

Software programs such as 340B Architect track the total 340B savings for reimbursement of covered outpatient drugs. While not mandated, the best practice of reinvesting these 340B savings back into the local community aligns with the original intent of HRSA’s 340B Program and assists in demonstrating 340B program integrity.

Patient Prescription Program

Through Macro Helix’s easy-to-use Patient Prescription Program, we help hospitals provide medications to qualified patients for free or at a reduced cost by reallocating the hospital’s or health system’s 340B savings. As a covered entity, you have the opportunity to customize your prescription card program.

Patient Prescription Program Registration Steps:

  1. Select and partner with contract pharmacies.
  2. Customize your prescription card program. Macro Helix can provide expertise on how best to meet your hospital’s needs by customizing the following:
    • Formulary
    • Prescription refill and days’ supply limits
    • Drug utilization review logic
    • Patient out-of-pocket costs
  3. Macro Helix generates the prescription cards and sends them to the hospital contact.
  4. The hospital distributes the cards directly to their uninsured or underinsured patients.
  5. Patients visit their local contract pharmacy and use their card to obtain prescription discounts.

Co-Payment Assistance Program

Macro Helix’s Co-Payment Assistance Program helps hospitals and health systems provide one-time discounts on high-co-payment and high-cost medications to their uninsured or underinsured patients utilizing their 340B savings. The program can be customized for the specific hospital’s or health system’s needs.

Co-Payment Assistance Program Registration Steps:

  1. Select and partner with contract pharmacies.
  2. Macro Helix can provide expertise on best practices for the co-pay assistance parameters.
  3. Macro Helix generates the one-time-use discount prescription cards and sends them to the hospital contact.
  4. The hospital distributes the cards directly to their uninsured or underinsured patients.
  5. Patients visit their local contract pharmacy and use their card to obtain prescription discounts.

Why Participate in Macro Helix’s Prescription Assistance Programs?

  • Helps patients stay healthier and may help reduce their hospital admissions by ensuring that patients get the prescriptions they need.
  • Assists in demonstrating the 340B best practice of 340B program integrity.
  • Macro Helix offers customized prescription discount solutions tailored to your health system’s or hospital’s needs.

Community Benefit and Charity Care Resources

Contact Macro Helix to Learn More about Prescription Assistance Programs

To learn more about these programs, please contact us.