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Days Supply and Refills For Plan participants living within the Colorado Springs region, all mail order prescriptions and prescriptions costing $300 or more, regardless of the day supply, must be filled through the County-City Employee Pharmacy Program. All other 30-day prescriptions may be filled through the County-City Employee Pharmacy Program or at a MaxorPlus Preferred Network Retail Pharmacy. For Plan participants living outside the Colorado Springs region, mail order prescriptions and prescriptions costing $300 or more may be filled at a MaxorPlus Preferred Network Retail Pharmacy; however, to help reduce your out-of-pocket expenses and control costs, MaxorPlus will work with you to meet your prescription medication needs by suggesting cost-effective refill options. If your health care provider has authorized refills, you may refill your prescription after 75% of the prescription has been used. For example with a 30-day supply prescription, you may refill the prescription when you have 7 days left. Codes & Modifiers S9345 Summary Description Anti-hemophilic factors Code Description Home infusion therapy, anti-hemophilic agent infusion therapy e.g., factor VIII administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment drugs and nursing visits coded separately ; , per diem Home infusion therapy, alpha-1-proteinase inhibitor e.g., Prolastin administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment drugs and nursing visits coded separately ; , per diem Home infusion therapy, uninterrupted, long-term, controlled rate intravenous or subcutaneous infusion therapy e.g., epoprostenol administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment drugs and nursing visits coded separately ; , per diem Home infusion therapy, sympathomimetic inotropic agent infusion therapy e.g., Dobutamine administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment drugs and nursing visits coded separately ; , per diem Home infusion therapy, tocolytic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment drugs and nursing visits coded separately ; , per diem Home infusion therapy, continuous anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment drugs and nursing visits coded separately ; , per diem Home infusion therapy, continuous insulin infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment drugs and nursing visits coded separately ; , per diem Home infusion therapy, chelation therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment drugs and nursing visits coded separately ; , per diem Home infusion therapy, enzyme replacement intravenous therapy e.g., Imiglucerase administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment drugs and nursing visits coded separately ; , per diem Home infusion therapy, anti-tumor necrosis factor intravenous therapy e.g., Infliximab administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment drugs and nursing visits coded separately ; , per diem MAF $82 w -SH or -SJ N A and grisactin.
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Psychiatric drugs have a particularly dehydrating effect on the body - an effect hardly ever mentioned in studies that look for adverse reactions to drugs and griseofulvin. Although pharmaceutical compounds may have a positive and often decisive role on human life, it has recently been realized that they may have a significant negative impact on the environment. A significant amount of the original substance or its metabolites are often excreted with urine or faeces, thus finding their way to raw sewage Hirsch et al., 1999 ; . Given the fact that many pharmaceuticals are often compounds very persistent to biodegradation and to natural physicochemical degradation processes, their presence in the raw sewage may have further implications, such as a ; adverse effect on the microorganism type, number and function and hence on the performance of sewage treatment plants STP ; , b ; escape through STP effluent into the aquatic environment affecting marine life and resulting in bioaccumulation, and c ; biosolids from STPs applied on land may provide a path for pharmaceuticals to contaminate ground water and food crops. Until recently, authorities have assumed that given the fact that the quantities of consumed pharmaceuticals and other xenobiotic compounds such as PCBs, surfactants etc. ; are relatively low, their anticipated impact on the environment is probably negligible Aherne et al., 1985; Warman and Thomas, 1981; Gool van, 1993; Coyne et al., 1994; Kerry et al., 1995 ; . Recent research, however, on xenobiotic compounds such as PCBs Halling-Sorensen et al., 1998 ; demonstrated, that some compounds called endocrine disruptors, have a hormone mimicking effect, even at concentration of a few nanograms per litre. In addition, recently published results clearly demonstrated effects on the endocrine systems of fish exposed to sewage effluent water, due to synthetic contraceptives present in effluents in the low ng L range Larsson et al., 1999 ; . These findings strongly suggest that the previous assumption that "no threat for human life and the environment must be expected by the presence of pharmaceuticals at very low concentrations" should be seriously reconsidered Colburn and Clement, 1992 ; . Furthermore, continuous discharge of generally not, for instance, brand name.
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