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Regional · North America · continued

Telehealth prescribing models in the US posts 61–90

This is a continuation of a long topic, addressed by post number rather than by page. Start at post 1.

OC
o.cousineauTL3Regular21 Feb 2025#61
k.redgrave, post #3: Coming back to the opening post, because the follow-up matters more than the original answer. On telehealth prescribing models the community has more anecdote than the confidence in this thread implies, and I include my own contribution in that. Go to post

Post #57 put the caveat in the right place and I want to underline it.

Compounded preparations and authorised products are different regulatory categories with different oversight, and conflating them produces most of the confusion here.

0 likes in reply to #3 17mo
KH
k.haddadTL223 Feb 2025#62

Building on post #61 rather than restating it.

Telehealth prescribing models has been discussed here with more heat than it deserves, mostly because two definitions have been in play the whole time.

20 likes 17mo
MI
m.ivaturiTL226 Feb 2025#63

A telehealth route and an in-person route can reach the same prescription through different criteria, and the criteria are what generalise.

If that reads as pedantic, it is, and it has saved me twice.

9 likes 17mo
AS
a.silvaTL228 Feb 2025#64
dr_bhattacharya, post #18: Emotional language in an appeal does not help, however justified it is. The reviewer is checking criteria and the job is to make them checkable. That is the shape of it. The detail is where I would expect to be corrected. Go to post

I would rather this thread reach "we do not know" about telehealth prescribing models than reach a confident answer that nobody can support when asked.

2 likes in reply to #18 17mo
NP
n.petrovTL22 Mar 2025#65
DB
d.barrosTL24 Mar 2025#66

Acknowledging rather than arguing. The reasoning holds as far as I can follow it.

14 likes 17mo
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s.dziedzicTL27 Mar 2025#67

I read post #64 twice before replying, because I had assumed the opposite.

The useful distinction on telehealth prescribing models is between what was measured and what was inferred from it. Both end up in the same sentence and only one of them has error bars.

5 likes 17mo
BN
b.nilsenTL29 Mar 2025#68
e.ferreira, post #12: Worth separating two things that post #8 runs together. Cross-border purchasing raises both a legal question and a practical one, and the legal one is yours to establish for your own jurisdiction. Go to post

What would change my mind on telehealth prescribing models is a second dataset collected by someone with no stake in the first. Until then I hold it loosely and I would rather say so than pretend to more.

0 likes in reply to #12 17mo
LC
l.chevalierTL3Regular11 Mar 2025#69

Private insurance gaps: some people have private insurance but medication is not covered. Manufacturer assistance programmes are the main resource for cost reduction.

That holds under the stated conditions and I have stated them.

0 likes 17mo
MA
m.adebayoTL214 Mar 2025#70

Nothing in this subcategory is medical or legal advice, and the clinicians posting here say so on their own account.

Same conclusion as the reply above, reached differently, which is mildly reassuring.

0 likes 16mo
AK
a.kwiatkowskiTL2Member16 Mar 2025#71

This follows post #68 rather than contradicting it.

I have three months of notes on telehealth prescribing models and the honest summary is that the trend is real and the week-to-week numbers are noise. I nearly drew the opposite conclusion from the first fortnight.

6 likes 16mo
TV
t.vargaTL218 Mar 2025#72

Worth separating two things that post #70 runs together.

Something worth flagging about telehealth prescribing models: the strongest-sounding claims in this thread are the ones with no source attached, which is the usual pattern and not a coincidence.

16 likes 16mo
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IRenaudinTL2Member20 Mar 2025#73

Formulary position changes on a schedule that is published in advance, which means a decision made now may be answering last year's formulary.

I have no interest in any supplier named above.

31 likes 16mo
NK
n.kaufmannTL222 Mar 2025#74
Ridgeway, post #9: Post #5 describes the usual case. This is about the unusual one. Appeals succeed more often than people expect when they answer the stated criterion point by point and include nothing else. That is my reading. Someone else read the same page differently and was reasonable. Go to post

This is the first time the answer has come with its own limits attached. Appreciated.

0 likes in reply to #9 16mo
MM
methods_marginTL3Regular25 Mar 2025#75

Picking up post #72: that is the part I would want checked first.

If you are new and reading this thread for the answer to telehealth prescribing models: the answer is conditional, the conditions are in the third reply, and the rest of the thread is worth skipping.

3 likes 16mo
SC
s.chowdhuryTL3Regular27 Mar 2025 · edited#76

A telehealth route and an in-person route can reach the same prescription through different criteria, and the criteria are what generalise.

I have said this before in a thread nobody could find, so it is worth repeating.

11 likes 16mo
CR
crossover_reviewTL3Regular29 Mar 2025#77
s.chowdhury, post #76: A telehealth route and an in-person route can reach the same prescription through different criteria, and the criteria are what generalise. I have said this before in a thread nobody could find, so it is worth repeating. Go to post

Prior authorisation criteria are usually published by the payer and reading them before the appointment changes the outcome more than anything else does.

Old habit: I write down the expected answer before I calculate it.

23 likes in reply to #76 16mo
EB
e.bakkenTL231 Mar 2025#78
d.vukovic, post #17: Confirming post #14 from a second method, which matters more than confirming it from a second person. I have been on both sides of the telehealth prescribing models argument in this category within eighteen months, which should tell you how strong the evidence for either side is. Go to post

Where the telehealth prescribing models discussion usually stalls is that nobody wants to say "I do not know" and everyone is willing to say "it varies". Those are the same sentence with different clothes on.

0 likes in reply to #17 16mo
OA
o.abrahamsenTL3Regular3 Apr 2025#79

United States: FDA licenses compounds. Prescribing and pharmacy practice are state-regulated. Compounds are prescription-only. Coverage is decided by individual plans, not nationally.

A qualification I should have led with rather than closed on.

15 likes 16mo
HR
h.ramosTL25 Apr 2025#80

Date every claim in this subcategory. Positions here have moved repeatedly and old posts are read as current.

Reporting the observation and leaving the explanation open deliberately.

30 likes 16mo
VB
v.bergstromTL27 Apr 2025#81
electrolyte_notes, post #7: Noted, and thank you for writing it out rather than summarising it. Go to post

The reason telehealth prescribing models is hard to answer is that the obvious measurement and the relevant quantity are not the same thing, and substituting one for the other is silent.

15 likes in reply to #7 16mo
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VPoulsenTL3Regular9 Apr 2025#82

Post #79 answers the question as asked. The question underneath it is different.

Telehealth prescribing models: I would want to see the raw numbers rather than the summary before agreeing. Summaries lose exactly the information that would settle this.

5 likes 16mo
ND
n.duarteTL211 Apr 2025#83

Cross-border purchasing raises both a legal question and a practical one, and the legal one is yours to establish for your own jurisdiction.

0 likes 16mo
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crossref_checkTL3Wiki editor13 Apr 2025#84

My understanding of telehealth prescribing models is a few years old and may have been superseded. If it has been, I would genuinely like to know rather than keep repeating it.

30 likes 15mo
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f.danquahTL216 Apr 2025 · edited#85
n.duarte, post #83: Cross-border purchasing raises both a legal question and a practical one, and the legal one is yours to establish for your own jurisdiction. Go to post

The claim about telehealth prescribing models upthread is stronger than its source supports. I have read the source. The source says "associated with" and the post says "causes".

10 likes in reply to #83 15mo
CO
c.okaforTL3Regular18 Apr 2025#86
n.petrov, post #65: Say which country and which state or province. Regulatory position, availability and practical route can all differ within the same continent and frequently do. Written from notes rather than memory, which is why the numbers are specific. Go to post

Reading rather than answering, but this is the post I would point somebody at.

3 likes in reply to #65 15mo
SG
s.girardTL220 Apr 2025#87

Post #83 put the caveat in the right place and I want to underline it.

Both are useful and different. The account tells you what happens in practice; the criterion tells you what to write.

Not the answer, but possibly the question that gets there.

0 likes 15mo
LE
logbook_erinTL3Regular22 Apr 2025#88

Canada: Health Canada licenses compounds. Prescribing is provincial. Compounds are prescription-only. Coverage varies between public and private insurance.

22 likes 15mo
HK
h.kimaniTL224 Apr 2025#89

I had written a reply contradicting post #87 and deleted it. Here is what survived.

Reframing telehealth prescribing models slightly, because I think the disagreement is about the question rather than the answer. If the question is "does it happen", yes. If it is "how often", nobody here knows.

29 likes 15mo
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BDraganovTL2Member26 Apr 2025#90
e.ferrari, post #58: Nothing to add, except that this is the answer I would give if asked. Go to post

The documentation on telehealth prescribing models is better than this thread and I say that as someone who has posted in the thread.

14 likes in reply to #58 15mo