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Queens · Nassau · Suffolk

Cardiology

High-cost therapies with well-documented outcome benefit, sitting behind some of the most rigid step therapy in medicine.

Where the friction is in cardiology

Direct oral anticoagulants facing step therapy through warfarin despite the monitoring burden
PCSK9 inhibitors requiring documented statin failure or intolerance plus specific LDL thresholds
Sacubitril/valsartan requiring documented ACE inhibitor or ARB trial first
SGLT2 inhibitors for heart failure denied under diabetes-indication criteria
Quantity limits that do not match the prescribed titration schedule

What we dispense

DOACs and anticoagulationPCSK9 inhibitorsInclisiran and newer lipid agentsARNI therapySGLT2 inhibitors for heart failureAntiarrhythmicsStandard antihypertensives and statins

Worth knowing

Statin intolerance documentation is where PCSK9 approvals are won or lost. Plans generally want the specific agents tried, the dates, and the named adverse effect. "Statin intolerant" on its own comes back for clarification nearly every time.

One pharmacy, the whole medication list

Cardiology patients are almost never on cardiology drugs alone. Filling the anticoagulant in the same place as the NSAID a podiatrist prescribed is how a bleeding risk gets flagged before it becomes an admission.

What your office gets

Before dispensing

Coverage run first

Plan check, step therapy status and assistance programs, before the patient hears a price.

When needed

One consolidated ask

Clinical documentation requested once rather than across a week of faxes.

To the patient

We make the call

Cost, delivery and start date handled by us, not relayed by your staff.

Back to you

What happened

Filled, refilled or abandoned, with the reason attached.

Send one script. That is the whole evaluation.

With the patient’s choice of pharmacy confirmed, send a prescription to OnPoint. We help coordinate coverage questions and refill follow-up with your office.

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