Our trained and certified clinical community pharmacists can now conduct ambulatory testing and prescribe treatments (including OTC and even some prescription medications) on selected acute medical conditions, based on collaborative agreements we set up with doctors at the Tulalip Health Clinic.
Using collaborative drug therapy agreements, pharmacists can help their patients with minor ailments and conditions to receive timely care. Services include screening (e.g. flu/strep/COVID testing), recommending an OTC, and even some prescriptions for patients in acute situations to reduce urgent care and emergency room visits.
Travel Clinic
Schedule an Appointment with our experienced immunizing pharmacist to receive travel vaccinations, trip-specific consultations, and immunization certificates before your overseas trip.
Immunization Services
Immunization services include Flu, COVID, Pneumonia, Shingles, RSV, Tdap, Hepatitis, and other routine as well as non-routine vaccinations.
Tulalip Clinical Pharmacy is dedicated to outstanding clinical and pharmaceutical service for the Tulalip people and community. Our professional staff builds confidential, respectful relationships with patients supported by education, clinical treatment, and modern technology. With high-quality, economical service and plans that fit into our patients lifestyles, our ultimate goal is providing the best health outcome and quality of life possible.
We are located across from Walmart in the Quil Ceda Retail Center.
Email us:
To ask questions or give feedback, please fill out and submit this form. We will get back to you via your preferred contact method within two business days.
Complete the form below to contact Tulalip Clinical Pharmacy. All fields marked with an asterisk are required.
Pharmacy Sun Art Credit
Special thanks go to artist Mike Gobin who donated the Sun carving to the pharmacy. It has been an inspiration to all those who view it as a constant reminder that all health and energy has one source. Mr. Gobin has permitted the use of this original, carved work to be replicated as a digital icon for the Tulalip Clinical Pharmacy.
Photo of original: "The Keeper of Life" - the Sun. A work by Mike Gobin (January 2009). Currently on display in the lobby of the Tulalip Clinical Pharmacy.
Photo of Digital Icon based on: "The Keeper of Life" - the Sun. A work by Mike Gobin (January 2009). Created by Tulalip Data Services (January 2012) for the use of the Tulalip Clinical Pharmacy.
The easiest way! Use our interactive phone menu by calling 360-716-2660 to place your order so that we may fill it and have it ready for you when you arrive at the pharmacy. If you’re new to phone menus, follow these IRV System instructions. Please try to call 72 hours in advance in case we have to contact your doctor.
You may also call us directly at 360-716-2660 and talk to a pharmacy representative, or you may drop by the pharmacy in person during our business hours.
New prescriptions may be called in by your doctor’s office or if you have a hard copy prescription please bring it to the pharmacy during our business hours.
If you'd like us to transfer your prescription from another pharmacy, please call us to arrange details. Answers to common questions about transferring prescriptions can also be found at FAQs.
On your mobile device
On your mobile device click the Apple or Android link to download the Tulalip Clinical Pharmacy mobile app at the bottom of the page or search “Rxlocal” in the Apple app store or Google play store.
Compliance Packaging
What is compliance packaging?
Compliance packaging, also referred to as adherence packaging, is a way to organize and arrange a patient’s medications based on prescribed directions and frequencies. Blister packing is one of the most popular compliance packaging formats which arranges doses into blisters based on the prescribed administration schedule. In addition, blister cards include important information such as date, time, drug names, imprint, pill color, dosage etc. to ensure accurate and timely administration.
Do you need compliance packaging?
Do you take multiple medications?
Are you overwhelmed by how and when to take your doses?
Is it hard to remember if you took a dose when scheduled?
Are you tired of running to the pharmacy to pick up refills?
Does your doctor change your medications often?
If you answered yes to any of these questions, the Tulalip Clinical Pharmacy’s Medbox service could help you.
What can Tulalip Clinical Pharmacy Blister Cards do for you?
All prescriptions arranged by dose and time of day
See at a glance when and what doses were taken
Eliminate chance of missing or doubling doses
One single trip to the pharmacy per month
Accurately and professionally prepared using state-of-the-art Synmed Blister Packing robot
Delivery
Customer service plays a central role in the daily operations of the Tulalip Clinical Pharmacy. We believe that part of providing great customer service is ensuring that our patients receive the right medications at the right time. That is why we take the time to deliver medicine to many customers who cannot come pick it up for themselves.
To find out more about where we deliver, please click on this contact us link or call us at 360-716-2660.
Overdose Prevention
On June 10, 2010, Washington state enacted the “911 Good Samaritan” law (ESB 5516), which provides immunity from drug possession charges in drug overdose situations and expands access to naloxone, a prescription drug that reverses overdoses caused by opioids. The law authorizes any person to obtain and use naloxone, given the fulfillment of certain requirements, and authorizes any person to administer naloxone to a qualifying third party.
Tulalip Clinical Pharmacy is driven to raise awareness around naloxone and to increase access to this potentially life-saving medication. In 2015, Tulalip Clinical Pharmacy established a drug protocol to distribute naloxone, an emergency medication that will reverse opioid-induced overdoses. Our pharmacy staff, in conjunction with the Tulalip Chemical Dependency/Behavioral Health teams, organized outreach events to educate and train on the proper usage of naloxone kit in the event of an opioid overdose. In addition to distributing naloxone directly to patients and their family members, Tulalip Clinical pharmacy also supplied naloxone kits and provided training to other health care providers, fish and wild life staff, and local first responder teams.
We realize the urgency of the opioid epidemic and are committed to work with all involved parties as a united front against the opioid epidemic.
Below is a link to an interview of Gina Skinner of Family Services, Jane Jacobson from the Tulalip Pharmacy, and community activist Rico Jones Fernandez discussing the epidemic of opiate addiction, the Good Samaritan Law, and the use of the overdose antidote Narcan (naloxone).
Personal Medication Counseling at Tulalip Clinical Pharmacy
We Are a Teaching Pharmacy
Knowledge is power. Medications prescribed by your doctor are often confusing, especially when you are taking more than one prescription at a time. We believe it is important that patients know about their medications to really benefit from the therapy. Many people take two or more drugs, and need to know if there are interactions between them. Some medications have serious side effects that are important to know how to manage or avoid.
Help Us Teach You
At the Tulalip Clinical Pharmacy, we have two private counseling rooms. There we can sit down and privately discuss your medications, and answer questions you may have about them. Not only do we counsel on medications, we also demonstrate:
Inhalers and spacers
Insulin injection devices
Blood glucose monitoring kits
Nebulizers
Blood pressure measuring machines
And more
Pharmacists have consistently been rated among the most trusted and accessible health care professionals. This is a reputation we respect. We strive to be worthy of it by reliably counseling with our patients about how to effectively use their medications and medical devices.
Clinical Services
Clinical Services
Wellness Services
Our trained and certified clinical community pharmacists can now conduct ambulatory testing and prescribe treatments (including OTC and even some prescription medications) on selected acute medical conditions, based on collaborative agreements we set up with doctors at the Tulalip Health Clinic. For conditions listed below, pharmacists will examine patients, conduct vital signs measurement, order diagnostic tests, and finally recommend and prescribe the most appropriate therapy. Any potentially serious and complicated cases will be referred to medical care at the hospital, urgent care or primary care provider.
Interested patients can sign up for appointments online Click Here.
Medication Therapy Management (MTM)
What Does MTM Cover?
Medication therapy management review, or MTM for short, covers a spectrum of services
that are used by a pharmacist to optimize and individualize the best treatment outcomes
for each patient. It is a process of collecting patient information, communicating
with health care providers, assessing appropriateness of current or missing therapy,
identifying medication related problems and developing a plan to solve them.
What Doesn't MTM Cover?
MTM reviews focus on getting the right drug to the right patient and the right time.
MTM does not include the dispensing of medication.
MTM does not take the place of your primary care provider. Primary care providers will still supply diagnosis, education, medical procedures and make the final decisions that are necessary for each patient’s illness or disease. The MTM review focuses on the appropriateness of the medications that are being prescribed and allows the pharmacist to make recommendations for the solution of medication problems that arise.
Pharmacists are available at the pharmacy during normal business hours to
perform MTMs.
Travel Clinic
Are you planning a trip overseas? Schedule an Appointment with one of our clinical pharmacists (located in Snohomish County near Marysville, WA) to receive all required vaccinations and personalized trip consultation:
Reasons to use Tulalip Clinical Pharmacy Travel Clinic services:
Tulalip Clinical Pharmacy is a member of the International Society of Travel Medicine (ISTM), the largest organization of professionals dedicated to the advancement of the specialty of travel medicine.
We use an industry-leading travel medicine resource service that provides comprehensive and up-to-the-minute health and safety guidance.
Pre-travel preparation
Immunization recommendations
Yellow fever entry requirements
Food and water precautions
Prevention and treatment of traveler’s diarrhea
Insect and malaria precautions
Hospitals/clinics locations and contact information
Safety hazards
Post-travel care
This is a one-stop solution for all your travel health needs.
Vaccination documentation
Travel vaccinations
Travel medications
Health-related travel planning
Vaccination documentation
Flexible schedule and off-site services available for groups of more than four travelers.
Dedicated travel clinic consultants are committed to answer all your health-related questions and will not rush you through your appointment like other similar services.
We pride ourselves in giving exceptional travel clinic services and will offer full visit fee refund if you are not completely satisfied for whatever reason. Here are some reviews on Yelp about our travel clinic services.
Fees
One of the most reasonably priced full service travel health services in the area.
Travel Clinic appointment fee:
Travel Clinic appointment fee:
$60 for the first person, $30 for each additional person up to four. No additional fee for follow-up visit(s). Please call to inquire about group rates and off-site services.
Immunizations:
$25–$350 per vaccine if insurance does not cover. We will always attempt to bill your insurance first.
(ATTENTION: Please schedule at least two business days before your appointment to give pharmacy travel clinic staff enough time to prepare for your visit.)
We recommended that the initial travel visit be scheduled using our online scheduling system at least 4-6 weeks before departure and that at least 60 minutes be allotted for this visit. Please allow additional time if more than one individual is to be seen, if children are traveling, or if the traveler has special health care needs. When prompted to complete an online questionnaire, please provide specific and detailed information so our travel clinic consultant can assess your travel-related health and vaccination needs.
Vaccination
Express Flu Shot Service
Flu shots are now available at the Tulalip Clinical Pharmacy without an appointment. To avoid long wait during the flu season, you can also opt for the express flu shot service by scheduling your flu shot and completing the required administration form online. All the processing and preparation will be done ahead of time before your arrival.
Did you know that you never outgrow the need to be immunized? It’s true. While we outgrow our need for some childhood vaccines, adults need immunizations too. Which vaccines you need depends on many factors: your age, your health concerns, your occupation, and with whom you live or spend time.
At the Tulalip Clinical Pharmacy, our pharmacists are trained and certified to give immunizations of all types. You do not need an appointment for most routine immunizations. For faster service, stop by during non-peak hours from 9:00 – 11:00 AM and from 2:00 – 4:30 PM.
Are you planning on a trip overseas? Schedule an Appointment with one of our clinical pharmacists to receive all required vaccinations and personalized trip consultation. Travel vaccination record and certificate required for entry by some countries will also be provided. You can get more information about travel immunizations on our Travel Clinic page.
Wondering what kind of vaccinations you need? Don’t worry. Our computers have a bi-directional communication link with the state immunization registry and can retrieve your immunization history instantly. Our immunizing pharmacists will use this information to provide a customized immunization plan for you.
In addition to vaccinations our pharmacists at the Tulalip Clinical Pharmacy are very experienced in giving many other kinds of injections. If your health care provider has prescribed an injectable medication for you, our pharmacists can administer it.
If you are a prescriber who would like to prescribe an injection, consider referring your patient to us for administration.
Pharmacists at the Tulalip Clinical Pharmacy play an important role in these programs that are set up by the health care providers. When patients receive Suboxone® treatment to assist their efforts in quitting a dependency on a substance they receive private one-on-one counseling. In these regular counseling sessions with the pharmacist the treatment plan will be discussed, and patients receive encouragement and positive reinforcement for changing their lives.
Our consulting rooms assure privacy and confidentiality. At each visit we check to see how your medications are working, and keep in close contact with the prescriber. Since these visits are usually short, you do not need an appointment. For faster service stop by during non-peak hours from 9:00–11:00 AM and from 2:00–4:30 PM.
Here are some examples of the injectable medications we currently administer at Tulalip Clinical Pharmacy:
Depo-Provera (depo-medroxyprogesterone acetate)
Enbrel (etanercept)
Pegasys (peginterferon alfa-2a)
RhoGam (rho(D) immune globulin)
Risperdal Consta (risperidone)
Vitamin B12 (cyanocobalamin
Substance Use Disorder
Medication Monitoring
Substance Use Disorder is a growing problem in Washington State where it is estimated that almost 12% of teens use medicines for non-medical reasons.1 The Tulalip Clinical Pharmacy works with prescribers to help ensure that their patients receive the right medicine at the right time. This one-on-one counseling at the pharmacy entails observed administration of disulfiram (Antabuse®) or buprenorphine/naloxone (Suboxone®). Pharmacists at the Tulalip Clinical Pharmacy find it rewarding to play a small part in assisting patients go from chemical dependence to individual independence as they make positive changes in their lives.
Antabuse® Direct Observation Program
Patients are prescribed disulfiram (Antabuse®) to maintain alcohol abstinence. In order to ensure patient compliance with the treatment regimen, it is often prescribed to be taken under the direct observation of a health care provider or other care taker. At the Tulalip Clinical Pharmacy there are private counseling rooms where a program patient meets with a pharmacist who administers the medication and gives counsel about the treatment regimen. The encounter is documented in the clinic-based electronic health record for patient and provider convenience.
Suboxone® Counseling Program
Pharmacists at the Tulalip Clinical Pharmacy play an important role in these programs that are set up by the health care providers. When patients receive Suboxone® treatment to assist their efforts in quitting a dependency on a substance they receive private one-on-one counseling. In these regular counseling sessions with the pharmacist the treatment plan will be discussed, and patients receive encouragement and positive reinforcement for changing their lives.
Reference:
Data compilation from: Washington State Department of Health, Office of the Department of Commerce, Family Policy Council and Liquor Control Board (2010). Washington State Healthy Youth Survey 2008 Analytic Report. January 2010. Available online at: www.doh.wa.gov; United States Department of Health and Human Services, Substance Use Disorder and Mental Health Administration, Office of Applied Studies (2008). State Estimates of Substance Use from the 2004-2006 National Surveys on Drug Use and Health. Rockville, Md.
Education
Education
Wellness
Wellness Education
We are a patient-centered pharmacy and want to be sure that optimum care is provided for our patients. We ensure that our patients receive one-on-one attention during counseling. The education program at Tulalip Clinical Pharmacy empowers patients to learn ways to improve their wellness and gain control over their conditions, such as diabetes. Patients are given the tools to understand their conditions and medicines, and given advice on how to take preventative care measures to improve their health.
We welcome appointments for these sessions at our pharmacy. Contact us and ask for an introductory wellness education counseling session with a pharmacist.
Tools for helping patients manage and understand their disease conditions and improve their wellness include:
Pharmacies cannot accept returned medications. Please see the next question for what you can do with your unused medication.
Unfortunately, Washington is lacking a statewide program that addresses this issue. In the meantime, the following links will provide you with current information about what you can do.
The Pharmacy has containers for you to use at home to collect your used needles, syringes and other sharps. There are also recycling and disposal stations and public health sites that accept these materials www.seattle.gov.
Yes, in most cases a pharmacist may transfer the remaining refills to another pharmacy. However, once your prescription has been transferred from the original pharmacy your prescription is now void and may no longer be filled there, unless you have it transferred back to the original pharmacy. Controlled medications may only be transferred once.
A pharmacist may give you a copy of your prescription only for informational purposes. A pharmacist may NOT dispense a drug from a copy of a prescription. A pharmacist may use the information on your copied prescription to contact your doctor for a new prescription.
No, a prescription may only be faxed to the Pharmacy by the healthcare provider.
The Pharmacy is only allowed to dispense the quantity that your doctor indicated on your prescription at a time. Also, insurance companies have their own limitations on refill quantity and frequency. For example, many insurance companies limit refills to a one-month supply. Prescriptions may only be refilled after the appropriate amount of time has lapsed in between refills.
Only a physician (MD), dentist (DDS), podiatrists (DPM), Advanced Registered Nurse Practitioners (ARNPs) and Osteopathic Physicians (DO) may issue a prescription. These physicians can issue prescriptions without any type of restrictions.
Physician’s Assistants (PA) and Certified Physician's Assistants (PA-C) may issue prescriptions only as approved by the Medical Commission. Pharmacists (RPh, PharmD) may write prescriptions only under an approved protocol agreed upon by the physician. This agreement must be filed with the Board of Pharmacy. Veterinarians (DV) can issue prescriptions to animals only, however these prescriptions can be filled at local pharmacies.
Certified Osteopathic Physicians Assistants (OA) and non-certified Osteopathic Physicians Assistants (IO), Certified Registered Nurse Anesthetist (CRNA), Neuropathic Doctor (ND) and Optometrist (OD) all are able to write prescriptions with certain restrictions.
In order to verify the correct identity of the person submitting and picking up prescriptions and for your safety, we collect and keep on file your social security number, date of birth and a photo copy of your ID. All of this information is stored securely and is only available to Pharmacy employees with a need to know the information.
A pharmacist may not refill a prescription unless authorized by your doctor. Your doctor may authorize no refills, one refill or several refills on the original prescription. After all of the refills on the original prescription have been used, the pharmacy must obtain a new authorization from your doctor before refilling your prescription.
Even though your doctor may want you to continue to take the prescription for a long period of time, he/she will monitor your drug therapy requiring the pharmacy to contact your doctor each time your prescription needs to be renewed
To avoid delays, give the Pharmacy a call a few days before your medication runs out. This allows the Pharmacy time to get in contact with your doctor and for the doctor’s office to respond to the Pharmacy.
Insurance companies limit the drugs that they will provide reimbursement for, or “cover”. Generally speaking, when the medications are essentially the same, the insurance companies prefer patients to try generic versions before brands. In some cases, your doctor will have to write a “prior authorization” letter to the insurance company in order to cover more expensive medications for you.
To find out if there is a generic option for a drug you are taking, go to DRUGS@FDA catalog of Food and Drug Administration (FDA) approved medications.
Go to www.dshs.wa.gov, or if
you are a client calling for Medicaid information, you may contact DSHS by phone at 1-800-562-3022.
Tulalip Prescription Formulary and Coverage Guidelines
The cost of prescription drugs has increased dramatically over the past decade and become a tremendous responsibility for the Tulalip Tribe,
especially when there has been no restriction or limit on prescription coverage. This prescription coverage has been funded through the Tulalip
Prescription Benefit Program, which is a "payer of last resort" program. In an effort to ensure long-term sustainability of the prescription benefit
and to provide the best and safest health care for our members, the Board approved a resolution in March of 2015 to create the Tulalip Prescription Formulary
and Coverage Guidelines.
The Tulalip Prescription Benefit is required to be the payer of last resort. This means it will cover any remaining prescription cost when all available primary coverage sources are billed first. In other words, members must make reasonable effort to enroll and maintain primary coverage to receive Tulalip Prescription Benefit.
A formulary is a preferred list of medications intended to help guide prescribing decisions, developed using evidence based guidelines and best practice recommendations from multiple groups.
Formulary drugs were carefully selected by clinic providers and pharmacists. These drugs are chosen based on efficacy, safety, and cost-effectiveness.
Members are required to maintain active primary insurance or to have a pending primary insurance application before their prescriptions will be covered by the Tulalip Prescription Plan. In addition, your prescriptions must meet any restriction or limitation imposed by your primary insurance. Prescriptions may be dispensed up to the quantities allowed by member’s primary insurance. There will also be a limit to the frequency and total cost of covered replacement for lost or stolen prescriptions.
You or your pharmacy will contact your provider to request a switch to an equivalent product that is covered by the formulary. If your provider decides none of the formulary equivalent products are suitable for you, he/she can submit a prior authorization request to the Tulalip Pharmacy and Therapeutics Committee.
If your provider decides it’s in your best interest to continue your current medications, he/she can submit a prior authorization request to the Tulalip Pharmacy & Therapeutics Committee.
A prior authorization request is how your doctor may ask for a non-formulary medication to be covered by the Tulalip Benefit. This request will be reviewed by a group of pharmacists and providers who will decide if the request is medically justified. If the request is not approved, your doctor may choose a different medication that is covered by the formulary. The prior authorization process usually takes 2–7 days, depending how quickly your provider submit the required documentations.
There are first-step medications that are high quality and good values. These medications are preferred choices to try first. If a first-step medication doesn't work well for you or doesn't agree with you, there are other medications that can be tried next. Often, the first-step medications are generics that have been proven safe and effective for many patients over many years.
Beginning May 2015, detailed information about the new formulary and prescription coverage guidelines will be available at the Tulalip Health Clinic, Tulalip Family Services, Tulalip Clinical Pharmacy, and on this Tulalip Clinical Pharmacy website. In addition, the Tulalip Clinical Pharmacy staff will prepare personalized notification letters to affected members. These personalized notification letters will help members understand how they might be affected and what we can do to resolve coverage issues.
Yes. Tulalip Prescription Coverage covers only prescriptions written by outside providers if the prescription is in the Tulalip Prescription Formulary and if they are first billed through your primary insurance. Some drugs might be restricted to outside providers who meet certain criteria. For example, Buprenorphine (Subutex) and Buprenorphine/Naloxone (Suboxone) prescriptions will only be covered if they are prescribed by Tulalip Health System providers or by outside SAMHSA-certified providers who provide DBHR-approved consultations.
*SAMSHA= Substance Use Disorder and Mental Health Services Administration, DBHR=Division of Behavioral Health and Recovery.
Please feel free to contact the Tulalip Clinical Pharmacy staff if you have any question regarding the new Formulary and Coverage Guidelines. You can reach us by phone 360-716-2660 or by email (pharmacy@tulaliptribes-nsn.gov).
Policies
Permission to pick up prescriptions 4.28.17
Protecting patient’s privacy is one of the top priorities of Tulalip Clinical Pharmacy. Tulalip Clinical Pharmacy will only release prescriptions to patients or their authorized representatives.
ID requirement
Patients or their authorized representatives must present valid picture ID at the register. For dependent children (18 years old and younger), parent or legal guardian may pick up medications with their own ID Card. Tulalip Clinical Pharmacy reserves the right to exercise professional judgment in determining when a parent or guardian may not be a minor’s personal representative, such as when a minor has the legal right to consent to care, when a minor obtains care pursuant to court order, or by agreement of a parent or guardian. In such cases, Tulalip Clinical Pharmacy may be prohibited from disclosing a minor’s health information. Tulalip members are also required to present their Tulalip ID when prescriptions are processed through the Tulalip Prescription Plan. Tulalip Tribal Members will not be required to show picture ID if a copy of their ID is already on file with the Pharmacy to verify identity.
To authorize pick-up by another person:
Patient or legal guardian must fill out and sign the Prescription Pick up Authorization Form. Pick-up Authorization will remain valid throughout the calendar year and must be renewed after December 31st of each year. Patient can also revoke it at any time.
Patient or legal guardian can also authorize a one-time pick-up over the phone. Pharmacy staff will make a good faith effort to confirm identity of the caller and document the authorization in patient’s profile.
Pharmacy Director may use discretion to deny or revoke a pick up authorization if he/she feels patient’s care or privacy will be compromised.
