FAQ >

FREQUENTLY ASKED QUESTIONS

Pharmacy Services

  1. What medications and items does Foundation Care Pharmacy carry?
  2. How do I become a patient of Foundation Care?
  3. Once I've become a Foundation Care patient, how can I get my prescriptions filled at the pharmacy?
  4. Can I transfer prescriptions to Foundation Care Pharmacy?
  5. How do I place an order for a refill?
  6. When should I place an order for a refill?
  7. How long will it take to fill my prescription order?
  8. Is there a home delivery charge?
  9. Do I have to be home to receive my medication?
  10. I am having problems logging into my account/ordering a refill. What do I do?
  11. How is Foundation Care different from other pharmacies?

Reimbursement

  1. Is Foundation Care a provider with my prescription plan?
  2. How will I be billed for my medications/order?

Trio™

  1. How can I obtain an Trio™?
  2. What medications can I use in the Trio Electronic Nebulizer?
  3. How often is the Aerosol Head replaced?
  4. How much medication should be left in the Medication Reservoir at the end of a treatment?
  5. How long should each treatment take?
  6. How often should I be cleaning my Trio™?
  7. When I turn on my Trio™, nothing happens. There does not seem to be any power. What is wrong?
  8. How long will a new set of batteries last?
  9. What if no mist is coming out of the Trio™?
  10. What if liquid is leaking from the Trio™ during the treatment?

Altera Nebulizer System

  1. What are the differences between an eFlow, Trio, and the Altera?
  2. Can I use the Altera to deliver all of my inhaled medications?

Pharmacy Services

  1. What medications and items does Foundation Care Pharmacy carry?

    Foundation Care is a full service pharmacy and your one-stop shop for all your prescription medication needs.
  2. How do I become a patient of Foundation Care?

    Contact a patient service representative at (314) 291-1122 or toll free at (877) 291-1122.
  3. Once I've become a Foundation Care patient, how can I get my prescriptions filled at the pharmacy?

    Prescriptions can be received by Foundation Care by doing one of the following:
    1. Patients can drop off their prescription at our pharmacy. Click here for driving directions.
    2. Physicians can call or fax in prescriptions.
      • Phone: (314) 291-1122 or toll free (877) 291-1122
      • Fax: (314) 291-1133 or toll free (877) 291-1155
    3. Patients or Physicians can mail their prescriptions to our pharmacy.
      • Foundation Care Pharmacy
        4010 Wedgeway Court
        Earth City, MO 63045
  4. Can I transfer prescriptions to Foundation Care Pharmacy?

    Yes. Prescriptions can easily be transferred from another pharmacy to Foundation Care. To coordinate a prescription transfer, contact our pharmacists at:
    • Phone: (314) 291-1122 or toll free (877) 291-1122
    • Fax: (314) 291-1133 or toll free (877) 291-1155
  5. How do I place an order for a refill?

    Refills can be placed by doing one of the following:
    1. Call a patient service representative at (314) 291-1122 or toll free (877) 291- 1122.
    2. Refill online by clicking here
    3. If your prescription refills have expired, Foundation Care's pharmacists will contact your physician to obtain a new prescription.
    4. For refills after normal business hours, you may leave a message with our answering service with your name and phone number where you can be reached on the next business day.
  6. When should I place an order for a refill?

    Refill orders should be placed at least one week before your medication runs out. This will allow us to make sure that we have your medication in stock when you need it. This will also allow us to obtain any new prescription that we may need from your doctor and arrange for convenient delivery.
  7. How long will it take to fill my prescription order?

    Orders are processed on a daily basis during normal business hours, except for compounded medications. Please allow for at least 24 hours for your prescription order to be processed. For those receiving compounded medications, please make sure to place your order when you have at least a week’s supply of your medication left. For those receiving diabetic supplies, please make sure to place your order when you are opening the last box of product. All prescriptions are scheduled for delivery Monday thru Friday.

    In cases where prescription orders cannot be filled immediately, a patient service representative will notify you of the delay. Delays include: special compounded medications, no refills left/new prescription required, awaiting prior authorization from your insurance plan, medication/supplies not in stock, etc.

    Foundation Care offers the convenience of free home delivery. Refrigerated items like compounded medications, Pulmozyme® and TOBI® are sent overnight delivery at no additional cost.

  8. Is there a home delivery charge?

    There is no delivery charge for orders totaling more than $25. Same-day processing and overnight delivery services are available and can be requested for an additional charge.

  9. Do I have to be home to receive my medication?

    Some packages will require a signature. If you are unable to be at home, we can have your medication delivered to an alternate address (i.e. a work address, a family member, a neighbor, etc.).

  10. I am having problems logging into my account/ordering a refill. What do I do?

    For problems logging into your account (forgot account number or password, etc.) or with placing an online order contact a Foundation Care representative at (314) 291-1122 or toll free (877) 291-1122. For other site issues, e-mail us at help@foundcare.com and clearly explain the problem you are experiencing.

  11. How is Foundation Care different from other pharmacies?

    Foundation Care is a full service RETAIL & SPECIALTY pharmacy. In addition to providing all of the medications and devices you would obtain at your local or mail order pharmacy, Foundation Care offers customized inhaled medications and highly efficient devices. Our pharmacists are experts in cystic fibrosis and diabetic care, our reimbursement team works hard to ensure that you get your medications and devices covered, and our patient care representatives are experts on troubleshooting and maintaining devices such as those with eFlow technology (Trio, Altera).

Reimbursement

  1. Is Foundation Care a provider with my prescription plan?

    Foundation Care is a participating provider with most major pharmacy benefit plans and state and federally funded programs. Our reimbursement staff will investigate coverage prior to your prescription being filled. Foundation Care will make every effort to work with your prescription plan or alternative reimbursement sources.
  2. How will I be billed for my medications/order?

    Foundation Care will bill primary and secondary plans directly and will bill you for deductibles and/or copays.

Trio™

  1. How can I obtain an Trio™

    Once a physician has prescribed the TRIO for their patient, it can be obtained from Foundation Care in one of four ways:

    1. Patients enrolling in our Medication Management Program can obtain the TRIO through a “no charge lease”. The patient is required to be using a chronic antibiotic (tobramycin or colistimethate) and they must obtain the medications to be delivered through the TRIO from Foundation Care.
    2. Patient or caregiver can pay cash for their TRIO. The cost of the base unit is $1680.00 and the nebulizer heads for one year are $525.00.
    3. Patients or caregivers may try to submit an insurance claim through their DME benefit. We can assist them with this insurance submission. To date most insurance companies have denied or provided very little coverage, making patient copays very expensive. In addition, it may take 4 to 8 weeks to get approval.
    4. Patients participating in the Zenpep program can qualify for a free TRIO, handset, heads etc. through this program.
  2. What medications can I use in the Trio Electronic Nebulizer?

    The Trio was approved as an open system, meaning that certain drugs commonly used for nebulization can be delivered through this device. The most common drugs utilized by CF patients include Albuterol/Xopenex, Hypertonic Saline, Pulmozyme, and chronic antibiotics such as Tobramycin and Colistimethate. Contact Foundation Care at (877) 291-1122 to speak with a pharmacist about specific medications.

  3. How often is the Aerosol Head replaced?

    The manufacturer recommends the aerosol head to be replaced regularly every ninety days of use.

  4. How much medication should be left in the Medication Reservoir at the end of a treatment?

    Only a few drops of medication should remain at the end of a treatment. If more than a few drops remain, clean the stainless steel Aerosol Head. If after proper cleaning, there are still more than a few drops remaining in the Medication Reservoir, contact us at (314) 291-1122 or toll free (877) 291-1122.

  5. How long should each treatment take?

    With normal operation and proper cleaning Trio™ should deliver a 1ml treatment within 3 minutes. If more than 3 minutes are required to complete your treatment with 1ml, contact us at (314) 291-1122 or toll free (877) 291-1122.

  6. How often should I be cleaning my Trio™?

    Trio™ nebulizer handset and the stainless steel aerosol head need to be cleaned after every treatment. Do not use "white" liquid soaps (i.e. Ivory) or antibacterial liquid soaps as these may contain additives harmful to the Trio™.

  7. When I turn on my Trio™ nothing happens. There does not seem to be any power. What is wrong?

    If you are using batteries, use the figures in each battery compartment to verify that the batteries are inserted correctly. If the batteries are positioned correctly, check to see if the light is blinking on the Control Unit signaling low battery power. If it is, replace the batteries or use the AC Power Supply.

    If you are using the AC Power Supply, check the adapter connection to be sure it is firmly connected to the adapter port located underneath the battery compartment. Be sure that the adapter is plugged into a working wall outlet.

    Also as a reminder, the AC Power Supply does not recharge your batteries. It is simply another form of power source. As a recommendation, it is better to use one or the other, not a combined source.

  8. How long will a new set of batteries last?

    A new set of batteries will provide approximately 1.5 hours of continuous treatment.
  9. What if no mist is coming out of Trio™?

    First check to be sure that Trio™ has been assembled properly. Next check that there is medication in the Medication Reservoir. If there is still no mist coming out of Trio™, there might be a problem with the stainless steel Aerosol Head. If after cleaning the Aerosol Head Trio™ still does not function properly, call us at (314) 291-1122 or toll free (877) 291-1122.

  10. What if liquid is leaking from Trio™ during the treatment?

    First of all, make sure that the Aerosol Chamber has been properly cleaned according to your instructions. Second, be sure that the Inspiratory Valve is properly attached to the Aerosol Chamber to prevent leaks. Be sure that the Aerosol Chamber and Medication Reservoir are properly aligned when closing. If they are properly aligned you will hear a "click" when you connect the pieces together at the hinge. You will also hear a "click" when the white tab is firmly connected to the Aerosol Chamber.

Altera Nebulizer System

  1. What are the differences between an eFlow, Trio, and the Altera?

    In 2004, the eFlow® SCF was FDA approved as “a handheld device to be used by patients for whom physicians have prescribed medication for nebulization.” On March3, 2009, SourceCF Inc., a subsidiary of Eurand Pharmaceuticals, Inc., rebranded the eFlow under the brand name TRIO™ Electronic Nebulizer. According to SourceCF, the change to the name TRIO was intended to differentiate the current device from other devices using eFlow technology that will be limited to use with a single medication.

    One such device is the Altera™ Nebulizer System. This device uses eFlow technology to deliver Cayston™. Cayston is only approved for use with the Altera Nebulizer System, which has been optimized specifically for Cayston.
  2. Can I use the Altera to deliver all of my inhaled medications?

    No. The Altera was designed only to deliver doses of Cayston. Utilizing other medications in the device will invalidate the device’s warranty and may deliver inaccurate doses to the patient.