Asthma and Allergy Affiliates Wiki

allergen_immunotherapy

Anonymous (anonymous@undisclosed.example.com) — 2025-03-25T16:59:56+00:00

Allergen Immunotherapy

covered_alternatives_2026

Anonymous (anonymous@undisclosed.example.com) — 2026-08-04T20:24:48+00:00

Coverage Details 2026: Wellcare: * will no longer cover Breo. Covered alternatives are Breyna HFA and Advair HFA. Medicaid (MassHealth) preferred medications: * brand Xopenex * brand Ventolin * brand arnuity * dulera * brand breo *

current_neffy_coverage

Anonymous (anonymous@undisclosed.example.com) — 2026-06-09T19:51:55+00:00

Neffy rep: Christian @ 978-995-3911 (5/2026) Neffy Coverage as of 10/2025- Non-formulary: CVS Caremark PBM, OptumRX PBM, BCBS OUT OF STATE (IL, OH, TX, etc), HPHC, Aetna, Cigna, MassHealth, Wellcare, Silverscripts Formulary: Express Scripts PBM

dupixent_start

Anonymous (anonymous@undisclosed.example.com) — 2025-11-10T17:04:01+00:00

DUPIXENT (raised EOS count required for all) 1. Atopic derm (L20.9 or L20.89) -6 months or older with diagnosis of moderate-to-severe atopic dermatitis -documentation of disease burden (SCORAD, BSA %, EASI, POEM, etc) -inadequate response to potent topical corticosteroids and topical calcineurin inhibitors -inadequate response to oral systemic immunosuppressants or corticosteroids

igg_therapy_dx_codes

Anonymous (anonymous@undisclosed.example.com) — 2026-06-16T16:49:11+00:00

D80.3 - Selective Deficiency of IgG D81.9 - Combined immunodeficiency, unspecified D83.9 - CVID, unspecified

ivig

Anonymous (anonymous@undisclosed.example.com) — 2025-04-29T20:56:39+00:00

IVIG Ordering ---------- Salem Hospital MD must place orders into epic. NO PAPER ORDERS! Danvers location is not taking IVIG patients at this time After orders placed patient should call infusion center for apt / insurance coverage * for Medicare they do own PA's

labcorp

Anonymous (anonymous@undisclosed.example.com) — 2026-08-03T18:54:59+00:00

Account # 20150620 *Middleton Family Med sends their labs out to Lapcorp (check for results here prior to calling MFM) Danvers account number- 20150460

ma_rooming

Anonymous (anonymous@undisclosed.example.com) — 2025-10-15T17:22:57+00:00

Rooming ---------- * Don’t need to ask about reason for visit. Can ask here today for f/u on asthma/ eczema/ allergies? to keep it brief * For med allergies: ask if any change from last visit if follow up * Ask other questions briefly * Start asking smoking history at 12

meds_for_testing

Anonymous (anonymous@undisclosed.example.com) — 2025-07-22T12:17:06+00:00

List of Medications for Testing ---------- * PCN: Penicillin, Amoxicillin * Ceph: Cefazolin, Ceftriaxone, Cefuroxime * Macrolide: Azithromycin Dilution Instructions Penicillin G 500,000 Units Remove vial from freezer & add 2 mL of Normal Saline This equals 100,000 Units (DO NOT USE FOR TESTING)

nebulizer

Anonymous (anonymous@undisclosed.example.com) — 2025-03-18T14:01:09+00:00

Nebulizers ---------- A face to face visit or a visit within the last 6 months with provider mentioning nebulizer use in the note, is sufficient to support neb request to Acelleron. If an adult face mask is needed, and they are getting the nebulizer that day, just write on the order we send, an adult face mask needed, and they will ship it. If Adult face mask needed, no neb dispensed, fax a prescription to Acelleron and the patients demographics, insurance card to 978-824-8766

ordering_ct

Anonymous (anonymous@undisclosed.example.com) — 2026-06-09T14:00:17+00:00

MD should place order for chest or sinus CT scan in Epic. Nurse should then call the facility the patient prefers to have the scan done to: -ask if PA is needed, and if so, if the facility does them or if we should (flag KK2 to submit if needed) -schedule the CT scan if possible -obtain fax number / fax copy of CT scan order to the facility -obtain facility NPI number and address for the radiology dept

ordering_med_samples

Anonymous (anonymous@undisclosed.example.com) — 2026-08-04T20:33:40+00:00

Allegra & Xyzal- can be ordered once a month per MD/ login via hcpportal.hcpordering.com (last ordered for all offices 8/4/26) Salem office login (EY): username- salemfax@work.allergynorthshore.com password- Allergy123456! PIN- 3711 security ?s- Pet: Max, City: Salem

otc_medications

Anonymous (anonymous@undisclosed.example.com) — 2025-05-02T13:35:45+00:00

For any patient calling for these, I think we can say to them we will fill but also offer alternatives such as CostCo where can get: * Generic Zyrtec - 365 for $15 * Generic Allegra - 180 for $35 * Brand name Nasacort - 4 bottles for $30 * Brand name Sensimist - 3 bottles for $45

outside_vaccine_admin

Anonymous (anonymous@undisclosed.example.com) — 2025-10-15T17:52:05+00:00

How to document administration of a vaccine from PCP or pharmacy * Click on immunization tab * Click historical tab, scroll to bottom of page * Click on the green +, then just add in there

portable_pft-salem

Anonymous (anonymous@undisclosed.example.com) — 2025-02-11T18:43:08+00:00

* On Portable PFT: * 1. Select Exam with Predicted * 2. Enter Patient Information * 3. Complete three good blows * ON PFT Desktop: * 4. Click Portable PFT Icon on desktop of PFT computer * 5. Plug in portable PFT machine, a Window should pop-up

prior_auths

Anonymous (anonymous@undisclosed.example.com) — 2025-10-30T19:50:57+00:00

Prior Authorizations ---------- Medicaid based plans (MGB ACO, Wellsense, MassHealth) do not seem to cover patanase nasal spray. In office admin through buy & bill- Healix completes PA (buy & bill is required by Medicare but no PA required if medical criteria is met)

pt_1_form

Anonymous (anonymous@undisclosed.example.com) — 2025-10-07T14:51:00+00:00

Website: Login: JamesMacLean PW: ask Britt Select Submit PT-1, enter patients name and DOB and fill out corresponding questions. Ensure Name, phone number, address are all correct for patient

random_coverage_info

Anonymous (anonymous@undisclosed.example.com) — 2026-06-09T19:52:26+00:00

Wellsense Insurance plan (with Express Scripts PBM): -prefers tacrolimus 0.03% or 0.1% over pimecrolimus 1% -both tacrolimus and pimecrolimus require PA's, but pimecrolimus PA will only be approved if tacrolimus was tried and failed first -allowable amount of 30g per 30 days for topicals unless reason of medical necessity for higher quantity is specified

scig

Anonymous (anonymous@undisclosed.example.com) — 2026-06-02T17:56:03+00:00

SCIG Ordering Accredo covers most pt insurances (all except one-Tufts) Print off the application from website: Fill out accordingly, MD will pick dose and brand of SCIG. Fax application, copies of insurance cards and LOV notes to Accredo 866-233-7151

seasonal_rhinitis_otc_meds

Anonymous (anonymous@undisclosed.example.com) — 2025-05-02T18:06:21+00:00

start

Anonymous (anonymous@undisclosed.example.com) — 2026-06-16T16:47:56+00:00

Asthma and Allergy Affiliates Wiki ---------- Medical: * SCIG * IVIG * IgG therapy Dx codes * Nebulizer * Prior Auths * MA Rooming * Portable PFT-Salem * Xolair Start * Dupixent Start * Meds for Testing * Ordering CT * Allergen Immunotherapy * Seasonal Rhinitis & OTC meds * PT 1 form * Outside Vaccine Admin * Covered Alternatives 2026 * Current Neffy Coverage * Ordering Med Samples * Labcorp * Random Coverage Info Scheduling: * Guidance for appointme…

xolair_start

Anonymous (anonymous@undisclosed.example.com) — 2025-05-16T18:24:35+00:00

NEW START XOLAIR: -What insurance does the patient have? Medicare- in office through Healix required, Commercial- can do in office through Healix or self-admin at home (make sure we have copies of insurance cards) -Does the patient prefer in office or are they comfortable with self-administering the med? In office- Healix buy&bill, Self-administration- Specialty pharmacy benefits