Cyberattack on Pharmacies Nationwide, Including Maine, Causes Medication Access Issues
A recent cyberattack has sent shockwaves through pharmacies across the United States, including those in the state of Maine. The attack, which occurred on Wednesday, has left many people, especially the most vulnerable, struggling to access their essential medications. UnitedHealth, the parent company of Change Healthcare, discovered a suspected cyber security threat and took immediate action to isolate the impacted systems from others. While efforts are underway to restore the affected systems, the repercussions of the attack are still being felt.
The news of the cyberattack quickly spread throughout the pharmacy profession, leaving pharmacists and staff members on high alert. Amelia Arnold, Vice President of Community Pharmacies, expressed her concern about the situation, stating, “It’s been an interesting few days to say the least.” Community Pharmacies, with eight locations in Maine, were among those affected by the attack. Arnold explained that Change Healthcare plays two crucial roles in the pharmacy industry. Firstly, it serves as a Pharmacy Benefit Manager, providing information to pharmacies about whether patients are eligible for certain medications and what their copayment should be. Secondly, it helps determine the appropriate charges for medications. The disruption caused by the cyberattack has created significant challenges for retail pharmacies and patients alike.
The impact of the cyberattack varies depending on the pharmacy. Some pharmacies are unable to process any claims at all. For Community Pharmacies, the biggest hurdle lies with MaineCare, a state Medicaid program. Arnold expressed her frustration, saying, “We’re not able to figure out like, ‘is that a covered drug for MaineCare patients? Is it too soon to be filled? Would it be covered?'” The vendor responsible for operating MaineCare’s pharmacy claims system is Change Healthcare, further exacerbating the issue.
Maine’s Department of Health and Human Services (DHHS) acknowledged the disruption caused by the cyber security issue affecting Change Healthcare. However, the department clarified that there is no evidence of any compromise of MaineCare members’ personal data. Unfortunately, due to Change Healthcare’s response to the threat, MaineCare is temporarily unable to reimburse pharmacies for filling prescriptions for its members. In an effort to mitigate the impact on patients, the DHHS has instructed pharmacies to provide MaineCare members with a 3-day supply of prescriptions during this temporary shutdown.
Kristy Brittain, a MaineCare user, shared her experience of picking up her prescription at Walgreens without any issues. However, it is important to note that Walgreens did not respond to a request for comment. CVS, on the other hand, stated that while they may not be able to process insurance claims in certain cases, they have plans in place to address this situation. A spokesperson for CVS reassured patients, saying, “We’re committed to ensuring access to care as we navigate through this interruption.”
Arnold emphasized that there is no established playbook or guide on how to handle this situation yet. Each pharmacy is facing unique challenges and must find ways to adapt. In the meantime, MaineCare members who need to fill a prescription are advised to reach out to their pharmacist to explore alternative options. If they are asked to pay for their prescription and it is covered by MaineCare, the pharmacy should provide a refund once the issue is resolved. Members should keep their receipt and consult with their pharmacy regarding the refund process. For those unable to afford their prescription, they may contact the MaineCare pharmacy help desk for assistance.
Maine DHHS acknowledges that delays may occur due to high call volumes and encourages members to be patient. The department is working diligently to limit the impact of this disruption and ensure that members have access to their essential medications.
As the cyberattack continues to affect pharmacies nationwide, including in Maine, it is crucial for healthcare providers, patients, and government agencies to collaborate and find swift solutions. The ability to access necessary medications is a fundamental aspect of healthcare, and it is imperative that measures are taken to safeguard against future cyber threats.