Most bleeding disorder medications must be dispensed through a specialty pharmacy, which can present challenges for behavioral health facilities unfamiliar with this process. Many such facilities:

• Do not have existing contracts with specialty pharmacies, and

• May have exclusive agreements with pharmacies that cannot access these medications.

Step 1: Ask about their current policy
“Can you tell me whether your facility allows patients to bring in and use previously prescribed and dispensed medications from home?”

If the facility allows home medications:

“That’s great to hear. In that case, our patient may be able to bring their bleeding disorder medication with them at the time of admission.

This approach helps avoid delays in treatment and can reduce the burden on your team by eliminating the need to navigate unfamiliar procurement processes.”

If the facility does not allow home medications or doesn’t have a clear policy offer to help them create such a policy:

“Thank you for clarifying. If your facility doesn’t currently have a home medication policy in place, we’d be happy to share a sample document that you can use as a starting point for crafting a home medication policy that works for you facility."

Step 2: Offer support through specialty pharmacy coordination
“If bringing medication from home isn’t possible, our team can help in other ways. For example, we can work with you to:

• Identify local specialty pharmacies that are able to deliver the prescribed bleeding disorder medication directly to your facility, and

• Support communication and coordination between the pharmacy and your clinical or administrative staff to make the process as smooth as possible.”

Step 3: Explore alternate care pathways if needed
“If your facility is unable to allow home medications and cannot accept direct delivery from a specialty pharmacy, we can work together to explore other options to ensure the patient receives their treatment as scheduled. This may include:

• Arranging for the patient to receive their infusion or injection at a nearby Hemophilia Treatment Center (HTC), or

• Coordinating with a local infusion center or emergency department (ED) for scheduled doses during their stay.”