Case 2: – MASAC Standards of Service for Providers of Clotting Factor in the Home

• Health plan members who do not have access to an HTC may opt to work with specialty pharmacies to deliver coagulation replacement products
• MASAC has developed standards of service for specialty pharmacies involved in hemophilia care

MASAC Recommendation No. 188

• Specialty pharmacies offer clinical expertise and experience in hemophilia

• Deliver medications within 48 hours on a routine basis

• Deliver medications within 3 hours (if logistically possible) for emergencies

• Fill all prescriptions within ±5% to 10% of prescribed assays

• Manage clotting factors based on expiration date

• Provide 24/7 availability in multiple languages

National Hemophilia Foundation. MASAC recommendation #188. http://www.hemophilia.org/NHFWeb/Resource/StaticPages/menu0/menu5/menu57/masac188.pdf. Accessed March 14, 2013.