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Jackie DeJesus found medication for an Aetna member when no one else could

June 24, 2020 | Heart At Work

Jackie DeJesus, wearing a headset and working on a laptop computer in her home office.
Undaunted by COVID-19, Jackie used the reach of CVS to get our member the medication he needed.

When the COVID-19 pandemic hit, Loren1 thought he would be OK if he just followed the CDC guidelines and stayed home. Even though Loren never contracted COVID-19, his health was eventually impacted by the pandemic. Luckily, his case manager, Jackie, came to his rescue and quickly worked across CVS Health to provide a solution.

Loren has a history of psoriatic arthritis, among other health concerns, and was taking hydroxychloroquine to control his painful symptoms. He had been using his local pharmacy to fill his medications. But after hydroxychloroquine was named as a potential treatment for COVID-19, his pharmacy told him that they had exhausted their supply and couldn’t get any more. Not knowing what else to do, Loren began rationing his medication and eventually ran out too.

Jackie DeJesus, a registered nurse case manager on the Clinical Services Care Management team reached out to Loren because she saw he was prescribed hydroxychloroquine and heard there were shortages. “He was so happy to hear from us. He was very worried that his arthritis and skin conditions would quickly worsen and, because of the pandemic, didn’t feel like he had any choices,” said Jackie. “Loren didn’t feel safe shopping around for his medication since he was following quarantine protocols, and even if he located the medication at another pharmacy, he was concerned about the safety of leaving his community.”

Jackie explained to Loren that we had dedicated CVS pharmacists who can help. She worked with Caremark customer service to not only locate the medication, but also set up a 90-day mail order delivery right to his home.

Within 48 hours, Loren started taking his prescribed dosage and was better able to control his painful symptoms. He’s now aware of the Caremark mail order option and is excited to use it for all his medications during the pandemic and beyond. He is also thrilled to have Jackie as his personal contact.

Karen Lynch said, “The Aetna case managers provide a tremendous opportunity to connect with our members and identify solutions even when they don’t know those options exist. In this case, we not only helped a member overcome physical pain, we worked across CVS Health to simplify his access to care.”

Thank you, Jackie, for bringing your heart to work to help your patients when they need it most.

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1 Name changed for privacy purposes.