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diabetes Va Prescription Drugs And Copay
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Question
Chuck75
Well, here I go again!
The VA has been charging "copay" for drugs associated with the "proper" and "correct" treatment of DMII and conditions associated with it.
In my case, drugs for the control of blood pressure and cholesterol, as well as Nicotine gum.
The VAMC bean counters assure me that this is typical.
Everybody points to everyone else as to correcting the problem.
With the language in the below VA reference, how can the VA do this?
Reference (extracts)
VA/DOD CLINICAL PRACTICE GUIDELINE FOR THE
MANAGEMENT OF
Guideline Summary
DIABETES MELLITUS (DM)
IN PRIMARY CARE
from VA Management of Diabetes Mellitus in Primary Care Summary
page 30
MODULE R – KIDNEY FUNCTION
SCREENING
1. Patients with type 1 DM should be screened for
kidney disease after puberty and at a minimum of
every five years. Patients with type 2 DM should be
screened for kidney disease at the time of DM
diagnosis, since the onset of type 2 DM occurs on
average 10 years before a clinical diagnosis is made.
Page 1
RECOMMENDATIONS WITH THE HIGHEST EVIDENCE: The highest
evidence for recommendations is A, defined as “a strong recommendation
based on randomized controlled trials that the intervention is always
indicated and acceptable.”
The following practices are strongly recommended based on evidence reviews:
8. Prescribe aspirin therapy (75 to 325 mg/day) for all adult patients with diabetes and
evidence of cardiovascular disease. [R=A]
Page 2
GUIDELINE KEY ELEMENTS
Secondary Prevention
• Achieve individualized HbA1c target through diet, exercise, medication, and patient
education to prevent micro- and macrovascular complications.
• Reduce and control blood pressure to improve quality and length of life, and prevent
micro- and macrovascular complications.
• Control cholesterol to reduce risk of cardiovascular disease.
Page ??
Health Preventive Measures
• Consider aspirin therapy to reduce the risk of cardiovascular fatal events.
• Advise tobacco use cessation.
• Provide influenza vaccination in season.
• Provide pneumonia vaccine, if indicated.
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