Handing by means of a GDV (packaging by intake)
What exactly is a medicine roll?
A medicine roll is a convenient system that helps you take your medicine correctly and on time. The roll consists of bags packed on a roll, with each bag for a specific intake time. This makes it easy to see which medication you need to take and when. This makes you less likely to make mistakes and more cooperative with your treatment. Ask for the medication roll at your pharmacy if your doctor gives permission.
What's in the medicine roll?
The medicine roll is suitable for most medicines in tablet or capsule form, but not for medicines that attract a lot of moisture or disintegrate quickly.
Benefits of the medicine roll
- Better compliance: you take your medicines at the right time.
- Less chance of errors, such as drug mix-ups.
- Easy to use.
When are you eligible for the medication roll?
Whether you are eligible is determined by your doctor in consultation with the pharmacist. We look at:
- If there is a problem with taking your medicine properly. Among other things, we assess here whether you find it difficult to organize the intake of the medicines in the right way for yourself. In other words, whether there is a problem with medication management.
- Signs of problems with the use of medication, by you contacting the pharmacy yourself or your family caregiver or other caregivers about this.
- Whether you can manage your medications properly yourself.
- Whether help without a medicine roll is sufficient.
- Whether you are not covered by the Long-Term Care Act (Wlz).
- Whether you need medication for one week or several weeks at a time.
What does the pharmacy do for you?
- The pharmacy assistant determines if there is a problem with taking your medicine properly.
- You have a starting conversation with the pharmacy assistant, yourself, your family caregiver or home care.
- The pharmacy assistant explains how the medicine roll works and what to do in case of vacation or hospitalization.
- The pharmacy makes sure your medicines fit into the medicine roll and that you have a current list of the medicines you need to take.
- You get explanations on how to use and store the medicine roll.
- There is regular consultation between you, the pharmacy, the family doctor and possibly the family caregiver about the use of the medicine roll.
- The pharmacist checks annually whether the medicines in the medicine roll still suit you.
Change in the medication roll
When there are changes in your medication, the pharmacist consults with the doctor and adjusts the medication roll. This can happen immediately if needed, or at the next dispensing. You will always receive information about changes and a new medication schedule.
When may the pharmacy bill "this act"?
The pharmacy may bill for this "performance" if the pharmacy performed the activities listed below, among others.
- The pharmacy assesses whether the prescription is legible, authentic, rational and effective.
- The pharmacy verifies that the prescribed medication is appropriate for the patient. This includes consideration of any errors or deficiencies, such as incorrect medication, dosage, treatment duration, drug interactions, contraindications, duplicate medication and allergies. Monitoring is based on the patient's current medication use, including self-care drugs.
- The pharmacy coordinates with the prescriber if the pharmacotherapy is not appropriate.
- The pharmacy provides oral and written information to the patient (and/or caregiver) prior to or during dispensing.
- The pharmacy provides, at a minimum, the package insert to promote proper use of the medication.
- The pharmacy provides instructions on how to prepare prescription medications for patients who need them.
- The pharmacy checks for any discrepancies between the prescribed medication and the prescription before giving it to the patient. After dispensing the medication, the pharmacy verifies that all previously mentioned checks have been properly performed.
- The pharmacy takes appropriate action in case of suspected or observed deficiencies in pharmaceutical care and service.
- The pharmacy records relevant data in the digital patient record.
- The pharmacy dispenses the UR drug to the patient.
- The pharmacy determines if the patient cannot take or administer the medication responsibly without GDV. The pharmacy conducts an intake interview with the patient and/or caregiver when starting a GDV.
- The pharmacy discusses the reasons for starting a GDV. The pharmacy provides instructions on how to use the GDV. The pharmacy inventories what other (self-care) drugs the patient is taking. The pharmacy discusses dosage, dosage frequency and intake times.
- The pharmacy regularly reviews the use and medical necessity of the medication rollThe pharmacy provides a current total medication summary including intake times to the patient (and/or caregiver) and physician. The pharmacy ensures that the patient (and/or caregiver) can recognize individual medications. The pharmacy informs the patient and/or caregiver of any changes in the prescription.
Costs
The cost of receiving a medicine roll in the Netherlands may vary, depending on your pharmacy and health insurance. In most cases, these costs are covered by your health insurance, but there are a few important things to keep in mind:
- Reductible: The costs for a medicine roll are covered by the basic health insurance, but they count toward your mandatory deductible. This means you have to pay the cost yourself until your deductible is reached.
- Application fees: In addition to the cost of medication, pharmacies also charge a fee for compiling and dispensing a medication roll. This fee can vary by health insurance company. It can be a weekly, bi-weekly or tri-weekly fee and is reimbursed by health insurance, provided you go to a contracted pharmacy and meet the conditions described in this article.
Want to know more about this topic?
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