INNOVATIVE PRACTICE FORM

Name: Grant Brown, Proprietor

Address: Brown's Professional Service Pharmacy Inc., 1015 West Michigan Ave, Jackson MI 49202

Phone #: 517-789-6111

FAX #: 517-789-0115

Briefly describe innovation

Diabetic counseling, DME services including Respiratory Care, Home Infusion Services, Pain Management Control, Specialized Compounding for different drug delivery systems. Ex.: Suppositories, Topical Medications, etc.

Method of Reimbursement

Payor(s): Private Insurances, HMO's, Private Pay By Patients

Reimbursement rate: Negotiated Per Case

Specialized training required? Yes Focus Training For Each Speciality

Software/instrumentation required? Yes Depending on service and who billing is to be submittted