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Your benefit ID card will not be replaced at this time. Please continue to use the card you have been using.

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You can still use the same phone numbers to contact us and you will now be greeted with the CVS Caremark name. Our Web site is being updated and will look different and function better but you will still have access to all of the same information as before.

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If you used our mail service in the past you should have recieved a letter about the change to CVS Caremark Mail Service Pharmacy. The refill order page on RxAmerica.

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com will redirect you to the right page on www.caremark.

com to order refills. For a copy of this letter, click here.

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Although our name and logo may be changing, you can continue to expect the same quality, access and personal service that you have come to know and trust. The patient-centered medical home (PCMH) is an approach to delivering comprehensive, continuous, coordinated care across all life stages and has been hypothesized to be one potential solution to the discrepancy between the high cost but low quality of health care in the US.

Although a plethora of literature exists on how pharmacy interventions can improve the quality of patient care through medication therapy management programs, there is a paucity of data supporting pharmacists’ involvement in PCMHs. Pharmacists are uniquely trained and positioned to make important contributions to PCMHs as medication care coordinators.

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The opportunity is now for pharmacists to establish their role within this medical setting. DATA SYNTHESIS: Fospropofol is a water-soluble prodrug of propofol, a potent sedative–hypnotic agent.

Propofol is highly lipophilic and is formulated in lipid-containing solvents, which have known disadvantages, including pain on injection, narrow therapeutic window with the potential to cause deep sedation, high lipid intake during long-term sedation, and risk of infection resulting from bacterial contamination. Due to its water solubility, fospropofol eliminates some of the known lipid emulsion–associated disadvantages of propofol and provides a more predictable peak onset of activity and more gradual recovery to a full state of consciousness.

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The pharmacokinetic and pharmacodynamic profiles of fospropofol make it an attractive agent for sedation for procedures of short duration. Unfortunately, the number of patients studied has been relatively small and the amount of safety data is limited.