Who is Eligible for WPQC Services?
Physician referral automatically qualifies patients for WPQC MTM services.
Even if a patient does not meet WPQC’s standard eligibility criteria, physicians are encouraged to refer any patient he or she feels would benefit. A WPQC pharmacy can be located in almost every Wisconsin county. Patients are eligible for WPQC services at no cost if they have prescription insurance coverage from participating WPQC payers.
For a complete listing of participating WPQC locations, click here.
Click to access the Prescriber Referral Form.
| WPQC Physician Referral Process, It's as Easy as 1 2 3!
Determine if the patient’s prescription insurance participates in WPQC. These insurance programs are WPQC participants:
- Gundersen Health Plan
- Unity Health Insurance
- Wisconsin ForwardHealth (Medicaid and SeniorCare)
Assess if the patient would benefit from a comprehensive medication review and assessment. Any patient referred by a physician is eligible for services. However, patients with the following conditions or circumstances are likely to benefit from a comprehensive medication review and assessment:
- Multiple medications to treat or prevent chronic conditions
- Receives prescriptions from multiple providers
- Recent discharge from the hospital or long term care setting
- Low health literacy
Call in a verbal order or fax an order to a WPQC-accredited pharmacy requesting the patient receive a comprehensive medication review and assessment.
Comprehensive medication review and assessment visits can be conducted at any time, whether prior to or following regularly-scheduled physician visits.