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Managing Your Medications

We have two CPPs (Clinical Pharmacist Practitioners) that work with our team. CPPs are pharmacists who have an additional certification that allows them to provide refills and medication dose adjustments in collaboration with the physician. These care providers are crucial for reviewing possible medication interactions, working with the physician to determine the best medication to suit each person with CF, facilitating interactions with the pharmacy or insurance benefits manager, and supervising our home IV program. We also have a pharmacy technician who assists with medication denials and prior authorizations. Our goal is to get you the right medication, at the right time, at the lowest possible cost. 

Morgan C. Jones, CPP                                             Ashley Buige, CPP

Pronouns: she/her                                                      Pronouns: she/her
(patients with last names starting with A-K)         (patients with last names starting with L-Z)

If you are having trouble setting a schedule to complete your medications, please contact our CPPs to help develop a Medication Action Plan with you in the clinic. We will go through your daily routine and organize your medications to help you better adhere to your regimen.

Home IV Medications (Tobramycin, Amikacin, Vancomycin) that require drug levels

Starting in the hospital and finishing at home

  • The inpatient team will start you on your IV antibiotic regimen and check levels. If you are on high dose once daily tobramycin, do expect that you will get levels drawn periodically after you finish your infusion. This helps determine how your body is clearing the medication.
  • Most importantly, please remember that it is helpful to dose your tobramycin at the same time every day, preferably in the morning time (anywhere between 8am and 10am) to help with home health nursing lab collection times during business hours.
  • Do expect a call from our CF coordinator or pharmacist to check in with dosing times at home

Starting from home

  • If the home infusion company is able to deliver your medications to you in the evening, please start your IV Tobramycin or Amikacin the next morning (between 8am and 10am) to help with home health nursing lab collection times
  • The levels to be collected may be a trough (prior to the start of your infusion), peak (usually collected 1 hour after your infusion ends), or a random level (usually collected at least 7 hours after your infusion ends)
    • If you are on IV Tobramycin twice a day-expect a trough and peak
    • If you are on IV Tobramycin once daily-expect a peak and random level
  • Often times, your medical insurance will only allow 1 visit per day, thus drug levels may need to be drawn on different days

UNC Shared Services Center Pharmacy

Specialty and Home Delivery Service (919) 957-6900

  • Morgan and Ashley are liaisons between your CF team and our pharmacy care team at the UNC Shared Services Center Pharmacy.
  • If you reside in North Carolina and your insurance allows you to fill at our pharmacy, we will begin your personalized pharmacy care service by sending your specialty medication prescription to UNC Shared Services Center Pharmacy.
  • You may also be able to consolidate your other chronic medications and have them filled at one pharmacy.
  • Once approved, your prescriptions will be mailed directly to your home at no additional cost to you.

In addition to fulfillment of your prescriptions, our pharmacy care team will also

  • Request insurance approvals
  • Offer financial guidance
  • Serve as your advocate to the insurance company and medication manufacturer
  • Call you on a monthly basis to set up your next medication refill
  • Provide additional clinical oversight to ensure your safety and care

CF specific medications available at UNC SSC

Pulmozyme® Symdeko®
Inhaled tobramycin nebulizer solution Hypertonic Saline
TOBI® nebulizer solution Inhaled colistin
TOBI PodHaler® Inhaled amikacin
Bethkis® Inhaled vancomycin
Kitabis® Pancreatic enzymes
Orkambi® MVW Complete Formulation Vitamins (regular, D3000, D5000)
Kalydeco® DEKAS