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* 1. Name(Optional)

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* 2. Practice Site/Clinic Name

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* 3. Clinic Role:

Please rate the following questions from “Not at all satisfied” to “Extremely satisfied.” Select N/A(not applicable) for questions that are not relevant to your experience

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* 4. Ability to reach specialty pharmacy staff by phone who could answer my questions

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* 5. Specialty Pharmacy staff ability to adequately answer my questions

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* 6. Specialty Pharmacy staff ability to improve patient’s adherence

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* 7. Specialty pharmacy staff ability to answer patient medication questions 

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* 8. Timeliness of insurance and prior authorization services

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* 9. Communication regarding insurance and prior authorization services

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* 10. How would you rank VMC Specialty Pharmacy in comparison to other specialty pharmacies your patients use? (1-worst, 5-best)

i We adjusted the number you entered based on the slider’s scale.

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* 11. If you have any feedback about your experience with our pharmacy and staff, please share your below

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