S p e c i a lt y P h a r m a c y
Oncology Services
f o r pat i e n t s ta k i n g
oral chemotherapy
Our oncology trained pharmacist and nurse
practitioner will ensure you know how to take
your medications, teach you how to manage
side effects, and review potential drug-todrug interactions.
Oral chemotherapy medications often are
costly, require insurance authorization, and
are difficult to obtain. For these reasons, most
retail pharmacies do not handle oral chemotherapy prescriptions. Our pharmacy works
with your oncologist and our technicians
obtain authorization in a timely manner for
you, in order to avoid delays.
Specialty Pharmacy
Oncology Services
Comprehensive Cancer Center
Cancer Center Pharmacy
4501 X Street, Room 1008
Sacramento, CA 95817
Pharmacy: (916) 703-2707 (voicemail)
Fax: (916) 703-5066
UC Davis
Cancer Center Pharmacy
4501 X Street, Room 1008
Sacramento, CA 95817
Contact information:
M e d i c at i o n A d h e r e n c e
Program for Oral
Chemotherapy
Name:..................................................................
Mailing Address:.....................................................
City/State/Zip:......................................................
...........................................................................
Best Contact Phone:.................................................
Enrollment
Specialty Pharmacy
Oncology Services
Advantages of our program
JJ
JJ
JJ
New Medication Adherence Program
collaboration between your oncologist,
nurse practitioner, and pharmacist.
Personal Pharmacist You may contact your
pharmacist by voicemail or email and he/she
will return your call. Your pharmacist will
provide ongoing compliance monitoring
and check on your progress over the phone
to discuss any therapy-related issues.
Medication Delivery For your convenience,
we will set up delivery over the phone.
We can deliver to your home or directly
to you at your next Cancer Center visit, at
no extra charge.
JJ
We Carry Most Oral Chemotherapies
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Insurance Billing Our expert technicians
obtain insurance authorization for you. We
accept most major insurance plans, including Medicare B. Most retail pharmacies do
not handle Medicare B billing.
THE CANCER CENTER P HAR M ACY
I S YO U R E X CL U S I V E S U P P LIER OF
ORAL CHE M OTHERA P Y
Delivery Options: Mail to your address
(requires signature), or deliver to you at your
next visit to the Cancer Center, based on your
convenience, and at no extra charge. Payment
will be made over the phone using a credit
card for co-payments. You may also choose to
pick up at the Cancer Center Pharmacy.
Alternate Phone #:...................................................
Email:...................................................................
I would like to be contacted by e-mail to initiate
c No
refills (check one): c Yes
I would like to be sent tracking information for
my medication shipment by e-mail (check one):
c Yes
c No
Name of any Authorized Caregiver:...........................
...........................................................................
Fax form to (916) 703-5066 or
...........................................................................
Mail to: Cancer Center Pharmacy, 4501 X Street,
Room 1008, Sacramento, CA 95817
Special Delivery Instructions:......................................
...........................................................................
...........................................................................
Signature:..............................................................
Date: ...................................................................
Specialty Pharmacy Oncology Service
Medication Adherence Program For Oral Chemotherapy
Welcome to the Medication Adherence Program. Oncology Pharmacists specialize in
oncology medications and infusion therapy. We work together with your oncologists,
nurse practitioner, nurses, and other health care providers to ensure safe medication use.
We have seven Board Certified Pharmacotherapy and Oncology Specialist Pharmacists
on site.
How the program works
We offer clinic appointments with an oncology pharmacist to review your oral
chemotherapy treatment. To make sure our patients understand their treatment, we check
on them at home between clinic visits to help with issues they may be experiencing.
At the first meeting, we will review
•
•
•
•
•
•
The purpose of their medicine
How to take their medicine and special administration instructions
The importance of medication adherence and what to do when you miss a dose
Common and rare side effects for your medicine and how to handle them
Review your medication list for potential drug interactions
Answer other medication-related questions
After the first meeting, our pharmacy team will call you once a month. They check on
your progress, answer any questions, and prepare your next refill. We offer free of
charge, mail delivery of your oral chemotherapy directly to your home. During the
telephone calls, we will
• Make sure you are taking your medicine as prescribed
• Ask you if you have missed any doses. Provide tips to help you remember to take
your medicine.
• Ask if you are experiencing new side effects.
• Review relevant lab results for your specific medicine.
• Work with your oncologist for any new issues.
Advantages of the program
Personal Pharmacist
• You may contact a pharmacist by voicemail (916) 703-2707 and he/she will return
your call.
Medication Delivery
• For your convenience, we mail oral chemotherapy medicines to your address
(requires signature), free of charge. Payment can be made over the phone using a
credit card. You may also choose to pick up at the Pharmacy, located on the first
floor of the Comprehensive Cancer Center.
We Carry Most Oral Chemotherapy Medications
• Oral chemotherapy medications often are costly, require insurance authorization,
and are difficult to obtain. For these reasons, most retail pharmacies do not handle
oral chemotherapy prescriptions. Our pharmacy works with your oncologist and
our technicians obtain authorization in a timely manner for you, in order to avoid
delays.
Insurance Billing
• Our expert technicians obtain insurance authorization for you. We accept most
insurance plans, including Medicare B. Most retail pharmacies do not accept
Medicare B insurance billing for covered prescriptions.
Enrollment
Fill out the enrollment form. You may mail or fax it to our pharmacy. You may also
drop the form off at the Pharmacy located on the first floor of the Comprehensive Cancer
Center.
Location: 4501 X Street, Room 1008, Sacramento, CA 95817
Phone: (916) 734 -5865 or Voicemail: (916) 703-2707
Fax: (916) 703-5066