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Arestin RX program

We use Arestin in my office and see great results. However our Arestin rep is pushing us to do this RX program where you can get their medical
Insurance to cover it thru their prescription benefits. It’s complicated. Time consuming and a real pain in the butt. I don’t see how the office benefits. Does anyone do this and how does it help the office produce anything.



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We did it in the past. we charged the pt per quad to place their arestin. The problem for me is that its too much hassle and the front office where I work NEVER really help me with it. It’s extra work for the hygienist! That being said I think its great that pts can get it cheaper. This method allows us to treat EVERY pocket.

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Before we implemented it we charged $92/site and did not have it included as part of SRP protocol because it was too expensive for the patients. We offered it after months on a perio maintanence schedule for only the few unresponsive sites. Then we hired a dental consultant and he convinced us to file it through medical insurance. It is alot of extra paperwork but it helped us get more compliance and got us to get more patients to agree to placement on every 5 mm pocket or deeper with BOP either at the SRP appointment or at the tissue evaluation appointment. They had to still pay their insurance a copay and a $50/quad application fee to us but that is regardless of how many sites they need. Saves the patients a ton of money and at least we get $200 for all 4 quads instead if nothing because it was too expensive.

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We listened and decided it was also a lot of work that as hygienists we don’t have time for. We charge a pretty reasonable cost per site for Arestin and include it with our non surgical perio program. We have also seen some great results.

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We do it in our office. Our front desk takes care of all the paperwork. It’s not much benefit to the office production, but it allows the patients to get a lot of site specific antibiotics that they otherwise could not afford. We charge like $50 or more per tooth to treat if they don’t do the Arestin program.

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We’ve tried it a few times in our office but started running into issues with some medical insurances refusing to pay so it became too much of a hassle to more often then not get denied. The Arestin also had to come from a local pharmacy so getting it to our office became a hassle as well cause the patient had to pay the pharmacy their copay before the pharmacy would let it go. I work in a perio office and if we have patients who have multiple sites of infection present then we do oral antibiotics first and then at the re-eval if there is still a site or two here or there we will use the Arestin.

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I agree with Arestin being too much paperwork! Postponing treatment to wait to get the medicine in is not a healthy message to the patients – it’s psychologically telling them that it’s not important so it can wait.
Ethically, we have changed to Perio Chip – it’s chlorohexidine & just as effective – also MUCH cheaper.
People don’t want antibiotics in their kids, food etc.
Are patients and staff are so happy with the successful results the PerioChip is giving us!

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