State Resource Guide to Rx Response Rx Response provides an information-sharing and problem-solving forum for the private pharmaceutical supply system, disaster relief agencies and government to help ensure the continued delivery of critical medicines to patients whose health is threatened by a severe public health emergency. Members: Private Sector Members from the private sector are owner/operators as well as trade associations of the companies that comprise the entire pharmaceutical supply chain, including manufacturers, distributors and dispensers. Membership dues and industry donations provide the operational funding for Rx Response. Government/NGO Members from the Public and Non-Profit Sector are an essential part of the network of contacts that foster information sharing in a trusted environment. Members often come from, but are not limited to: Emergency Management Agencies, the ESF8 Role in the Emergency Operations Center, or officials performing a comparable public health response role Public Health Departments, including but not limited to pharmacists, SNS coordinators, and emergency preparedness officials Contact Information: Web Site www.rxresponse.org Email Addresses alerts@rxresponse.org: Email address for disaster-related information, product requests, or requests for information. contactus@rxresponse.org: General outreach to Rx Response program, and non-disaster related communications. admin@rxresponse.org: Users who need assistance with website access or functionality should send an email to this address. Social Media Twitter: @RxResponse LinkedIn: https://www.linkedin.com/company/rx-response Operations Center Phone 866-247-2694 202-715-7200 Rx Response | www.rxresponse.org 1 State Resource Guide to Rx Response Triggers: While public health emergencies will be determined on a case-by-case basis, there are a number of existing mechanisms that will be used to help guide Rx Response program activation decision-making. These include: Disaster declaration by a Governor or the President Department of Homeland Security (DHS) National Terrorism Advisory System Imminent or Elevated Threat Health and well-being of a significant number of persons is materially threatened or affected Local, regional, national, or global healthcare infrastructure is significantly compromised The underlying disaster dynamics are not quickly or simply resolved (e.g. within several days or through normal business practices by individual companies) Requests by the media for information on greater than normal demand or disasterrelated shortages within the bio-pharmaceutical supply chain Other situations warranting a response as determined by the respective decisionmaking bodies within the represented industry groups Ability to provide ample bio-pharmaceuticals in sufficient quantities or in a timely fashion is challenged Resources Available: 1. Pharmaceutical supply system status report available on Rx Response Infocenter infocenter.rxresponse.org website during emergency activations, limited situation report on www.rxresponse.org 2. Communications network to the pharmaceutical system which can broadcast product, resource, information or information requests on behalf of State Emergency Management and Public Health. 3. Rx Open: Map of open pharmacies in disaster-impacted areas available at www.RxOpen.org. This map is only activated for disasters, and uses prescription billing activity as a measure of the store being open. 4. Liaison available upon request for staffing State EOC, Health Operations Center, or Business Operations Center, as appropriate. 5. Rx on the Run: Web-fillable, downloadable wallet card for public recording of prescription medication and other relevant medical information available at www.rxresponse.org/rx-on-the-run Rx Response | www.rxresponse.org 2 State Resource Guide to Rx Response Disaster Response Event Description Localized Events (e.g., tornado, localized bombing, flu outbreak) Expected Effect on Pharmaceutical Product Minimal; normal supply system expected to address limited barriers (if any) Rx Response Strategy Regional Natural Disasters (e.g., earthquakes, fires, floods and hurricanes) Potentially significant; pharmaceutical product may not be able to reach disaster area or cannot be prescribed or dispensed. Monitor situation Activate the program Share information with partners Identify and resolve barriers; where possible and appropriate Large-Scale Acts of Terrorism Potentially significant; pharmaceutical product may not be able to reach disaster area or cannot be prescribed or dispensed. Activate the program Monitor the situation Share information with partners Identify and resolve barriers; where possible and appropriate Pandemic Events Collective forum to work with government agencies to address barriers to critical product delivery; voice to HHS response leadership and DHS Critical Infrastructure Program Activate the program Monitor the situation Share information with partners Identify and resolve barriers; where possible and appropriate Monitor and report event-specific information, as appropriate RX RESPONSE AND INDUSTRY INFORMATION NEEDS: Road closures Hospital closures Fuel issues Open alternate medical treatment facilities and other locations where medical treatment is taking place Infrastructure damage impacting the storage of pharmaceutical product Emergency orders/declarations activated specific to public healthcare delivery (licensing and liability) Rx Response | www.rxresponse.org Airport / port closures Pharmacy closures Security exposures Disaster declarations Anticipated alternate standards of care and impact on product need Government entity with jurisdiction in the disaster area, as well as any documentation enabling travel in the disaster area 3 State Resource Guide to Rx Response Additional Non-Emergency Ways to Participate with Rx Response: Utilize the network of Rx Response members and stakeholders to reach out to industry and drive public-private partnership and planning. Information source: subject matter expertise on pharmacy practice, supply chain logistics, and business continuity. Notify Rx Response when laws or regulations pass that affect delivery of health care, particularly those intended to enhance access to care during disasters > Collaborative practice agreement > Vaccination > Emergency prescription refill provisions Include Rx Response in exercise planning and/or play to educate both parties on the resources the other group can offer in an actual event. Notify Rx Response when key contact members change Rx Response | www.rxresponse.org 4 State Resource Guide to Rx Response Appendix 1: Rx Open When activated, Rx Response’s Rx Open Tool (rxopen.org) helps officials and the general public identify open pharmacies in their local area. Once a request is made to begin the tool, Rx Response works with pharmacy billing companies to provide a 12 hour list of pharmacies that are billing within an affected area. Rx Open displays both a Google map and downloadable Excel file of all open, any known affected/closed, and any unknown pharmacies in an affected area. Rx Response also offers a mobile version of its site accessible at www.rxresponse.org on your mobile device. Example Pharmacy Status Reporting Maps and Icons: INDIVIDUAL PHARMACY MAP The individual pharmacy map below displays a list of individual pharmacies and American Red Cross shelters in the area affected by an emergency. Each pharmacy is color coded based on its operational status. When you click on a pharmacy, a box appears which contains contact information for that pharmacy. COUNTY OVERVIEW MAP The county overview map displays a high level view of how each county within an affected region’s pharmacies are impacted by an emergency. Each county is color coded based on the entire county’s operational status. When you click on a county, a box appears which contains high level data for that county Rx Response | www.rxresponse.org 5 State Resource Guide to Rx Response County with 90% Pharmacies Open County with 80% - 90% Pharmacies Open County with < 80% Pharmacies Open Example downloadable Rx Open list of pharmacies: Pharmacy Duane Reade #14102 DOWNTOWN PHARMACY Xpress Lane Pharmacy Duane Reade #14118 DOWNTOWN PHARMACY CVS PHARMACY Duane Reade #14400 Duane Reade #14264 Prime Essentials LLC KINGS PHARMACY Rx Response | www.rxresponse.org Address 250 BROADWAY NEW YORK NY 10007 19 BEEKMAN STREET NEW YORK NY 10038 99 nassau st #111 New York NY 10038 305 BROADWAY NEW YORK NY 10007 165 WILLIAM ST NEW YORK NY 10038 129 FULTON ST NEW YORK NY 10038 17 John St New York NY 10038 130 WILLIAM ST NEW YORK NY 10038 345 Broadway New York NY 10013 5 HUDSON ST NEW YORK NY 10013 Phone 212-571-4511 Status Status: Open 212-587-5252 Status Unknown 212-962-4900 Status: Unknown 212-227-6168 Status: Open 212-233-0333 Status: Open 212-233-5021 Status Unknown 212-619-7181 Status: Open 212-385-1131 Status: Closed 212-941-7900 Status: Unknown 212-791-3100 Status: Open 6