Indy Men’s Health’s Clinic Policies for Testosterone Therapy
The following information is provided to our patients to assist them with making an informed decision about testosterone replacement therapy. Your provider may also offer you a copy of this information in print form. We strongly encourage all patients who are currently receiving or are considering testosterone therapy to learn about low testosterone therapy & read thoroughly read our clinic policies.
Clinic Testosterone Therapy Policies
Regular Lab Policy
Proper testosterone monitoring requires regular lab work. Your provider will order this lab work so it can be obtained before your follow-up visit. It is your responsibility to make sure you have this lab work drawn. If you have your lab work drawn at a location different than Urology of Indiana, it is your responsibility to make sure the results of this lab work has been sent to our office before your follow-up visit. Our fax number is (317) 876-2369. If your follow-up visit is coming up, and you have not been scheduled for labs beforehand, please call our office at (317) 564-5104 to ensure a lab draw is not required. This is your responsibility. If you arrive to your follow-up visit and your labs have not been collected or are not available for your provider to review, your provider may not be able to refill your prescription. This may delay your next prescription and you may be without testosterone during this time.
Clinical Compliance Policy
During the course of your treatment, your provider may request that you donate blood if your hematocrit (blood thickness) becomes elevated. You may or may not be asked to see a specialist known as a hematologist. Depending on your age, your provider may regularly screen you for prostate cancer. If your provider feels that you may be at risk for having a prostate cancer, they may recommend that you see a cancer specialist. It is your responsibility to follow these recommendations. Failure to do so may result in your testosterone prescription being cancelled until you are able to follow your specific recommendations.
Testosterone Refill Policy
At each visit, your provider will make every effort to ensure you have enough testosterone to last you until your next scheduled clinic appointment. Making this appointment and obtaining your scheduled lab work is your responsibility. if you miss your appointment, cancel it, or delay it for any reason, you may run out of testosterone. If you find yourself in any of the aforementioned circumstances and call to request a refill, you may be required to obtain repeat bloodwork and attend a follow-up visit prior to receiving a refill. Depending on your provider’s availability, this may result in you being without testosterone for some time. Repeated calls to our clinic phone line, or abusive behavior, may result in your prescription being permanently cancelled. Testosterone is a controlled substance and is monitored closely by the Drug Enforcement Agency (DEA).
Prior Authorization Policy
Most insurance companies utilize what is known as a prior authorization prior to covering certain medications. You may learn about this if your pharmacy informs you that it has submitted paperwork to our office in order for your medication to be covered.
Insurance companies use prior authorizations as a tactic to save money and avoid paying for certain medications. Prior authorizations require hours of work by our staff members and prevent them from participating in direct patient care. As a result, our office is unable to process prior authorizations for SOME testosterone medications. We are currently only processing prior authorizations for the following at-home medications: Xyosted, Jatenzo, Aveed, Testopel, Natesto and certain fertility medications.
If you call our office requesting a prior authorization that is not one of the above-mentioned exceptions, we will be happy to provide you information on how to submit the prior authorization yourself. Unfortunately, we will not be able to submit it on your behalf. Excessive repeated calls to our clinic phone line, or abusive behavior, may result in your prescription being permanently cancelled.
Schedule an Consultation for Low Testosterone Therapy in Indianapolis
We appreciate you taking the time to read this informational guide. It is our goal to provide you with the highest level of care possible and your adherence to the above policies allows us to do that! To schedule an appointment with Dr. Kovac or Dr. Tatem, please call Urology of Indiana today at (877) 362-2778.