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National Dentex (CapRx) - General Information

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Axel Mora
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National Dentex Labs (in partnership with Capital Rx) is the solution for dental restorations, appliances, and other lab services. NDX is the largest dental lab network with more than 30 service oriented local labs, aesthetic labs with deep experience and skills, simple domestic and offshore mail-order options, and the most advanced technology in digital dentistry and surgical planning. Vida Health is offered to National Dentex members through a partnership with CapRx, which is NDX’s PBM.

Zendesk Org Tag: National Dentex (CapRx)

Landing Page: https://www.vida.com/member/nationaldentex/

Programs & Devices Offered

AOM Prescribing - Use Case 2

See this VP Card for additional prescribing details.

Use Case 2: Vida as an option to receive GLP-1s through MWL [Executed at launch]

  • Some members may go through their primary care physician for GLP-1 access, and others will go to Vida for it. For the latter, members have access to obesity treatments via Vida's Medical Weight Loss program, which includes an extensive medical intake with labs. They receive MNT and health coaching. They will be evaluated as candidates for AOM at the start of the program and throughout, based on their weight loss progress. 

  • NOTICE: Dentex (National Dentex Corporation/CapRx) is ending their members’ access to the Vida Prescribing Program only starting July 1st.
  • Important Dates:
  • Week of 6/2: Members will be notified they are being discharged from prescribing.
    • Push Notification:
      • Title: Program update
      • Message: We’ll open a new program for you [member name]. Tap for details :point_up_2:
      • Action when tapped: Open chat
    • In app banner:
      • Title: Your benefits changed. We’re still here for you!
      • Message: Because your benefits changed, you now have access to a different Vida program.
      • Go to Chat for more info.
    • Message in Chat:
      • Hello [first name]. Update: Vida has a new program for you because your benefits have changed. We’re here to support you in weight loss and maintaining a healthy weight. You’ll start seeing Weight Loss+ program content in your app. Keep meeting with your Vida health coach. No coach yet? They’ll message you soon.
  • Week of 6/9: Members will be notified they will be moved from MWL to WH if they have Diabetes or WL+ if they do not have Diabetes.
      • Push Notification:
        • Title: Program update
        • Message: We’ll open a new program for you [member first name]. Tap for details 
        • Action when tapped: Open Chat
    • In app banner:
      • Title: Your benefits changed. We’re still here for you!
      • Message: Because your benefits changed, you now have access to a different Vida program.
      • Go to Chat for more info.
    • Message in Chat (for members with Diabetes):
      • Update: [first name] we’re adding the Whole Health program to your Vida app because your benefits changed. The program supports weight loss, diabetes, and more. You’ll start seeing new content in your app. If you don’t already have a Vida dietitian, we’ll switch your provider so you have a condition care expert.
    • Note: Chat messaging will vary based on program.
  • July 1st: Coach/RD changes (if required for new program).
  • July 5th: Prescribing program ends.

 

  • Vida prescribes AOMs?
    • Yes
  • Is this client gold carded?
    • Yes
  • Is Contrave covered?
    • No 
  • Is Zepbound covered?
    • Yes
  • Will members already on GLP-1s who are currently < BMI threshold be grandfathered if they were >threshold at time of initial Rx?
    • Standard goldcarding approach- will request medical records that show the member was w/in target BMI range at time of initial Rx and is currently on the med.

Device Prescribing Details

Vida will write prescriptions for glucometers, test strips, lancets, and Continuous Glucose Monitors for Authorized Users based on the Partner formulary, and will prescribe formulary-aligned medications prioritized based on the tier the member is in.

  • We are NOT provisioning these devices - we will prescribe them and send script to the member's pharmacy for them to fill.
  • For device issues, members will need to contact the manufacturer
  • BP cuffs and scales will be provisioned as normal (not prescribed)

Contour Next coupon

  • CapRx offers a coupon to obtain a free Contour Next glucometer.
    • Sample Coupon for reference.
    • One time use per member. Members can contact their insurance provider to obtain a coupon.
    • In the form they fill out prior to us prescribing, it will say: Your Vida medical provider can write a prescription for a blood sugar meter kit. It also has a lancing device, lancets, and 1 container of test strips. Here’s a coupon to help pay for the meter.

Population Details

  • Employees : 1154, Spouse: 272, Dependents (over 18): 223
    • Out of the ~2k members, 30 of them are on Livongo but NDX has been unable to obtain from Livongo the list of these 30 members. We are proposing to NDX to send a comms to their employees to contact us if they are on Livongo and are currently on meds/devices, so we can support them appropriately
  • Members are nationwide

Additional Info

  • What segment is this org in?
    • Partnership through CapRx (PBM), National Dentex is an employer
  • Are there any Fees at risk (FAR) org?
    • Yes
      • no support related PGs
  • When did we launch with this org?
    • 7/1/2024
  • How is the service being paid for?
    • Vida is available at no cost to US associates
  • How do members enroll?
    • There is an eligibility file. Members enroll by clicking on QR code that takes them to landing page, or they can call Vida directly to enroll
  • Where should non-eligible members be directed?
    • All NDX members are to be warm transferred to Included Health at 833-938-9741 since Included Health is the main contact for member issues. Included will then reach out to Capital Rx on the dedicated backdoor line 332-345-4162 if needed. When Included Health calls on National Dentex's backdoor line, member validation and consent are NOT required before disclosing PHI/PII.
  • Who is eligible?
    • Vida is available at no additional cost to U.S. associates who are eligible for a National Dentex-sponsored medical plan and their family members (age 18+) who are enrolled in a National Dentex-sponsored medical plan. Residents of Puerto Rico are not eligible for Vida
  • Is the org on the eligibility file?
    • YES
  • How often will terminations take place?
    • Monthly
  • Do we offer Phone and/or Email support?
    • Email + phone
  • Is VSC outreach involved?
    • Yes

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