LTS (1)
Which drug was the first drug on the LTS tool for 2026
Zomacton 10mg
If you schedule an order with the member, what is the correct Disposition in the LTS tool/ tracker?
Pending/ Scheduled, waiting download.
If the member does not want to schedule medication, what is the next step?
Confirm with the patient if they would like to remain on the waiting list or be removed, and update waiting indicator accordingly.
If you are able to leave a message to the member what disposition do you use in the tool?
Pending/ left message
What are the eight sections found on the pronet tool record?
Patient information, Medication information, additional information, CMDA task exists, history, executive escalation, actions/ outcome, comment section
How many drugs are on the LTS list?
14
If there is a Download Diversion task holding up a LTS order, who works the task?
The allocation team works all trained download diversion task.
If contact was not successful and unable to leave a voicemail, what disposition in the LTS tool do you use?
Pending/ No response or ability to leave a message.
If the original LTS product is in stock & alternative Rx is not received, what is the next step?
Advise patient alternative Rx not yet received but there is stock of original is available. Proceed to scheduling and remove Hold from LTS product.
What is the beginning of each GEN note that is left?
FEP RECON TEAM working LTS-
When is a NPE required?
If there is no order within 6months or 180 days
What is the disposition in the LTS tool if the order is in shipped status?
Resolved/ Download confirmed
If a voicemail was left, when do you make another outreach to the member?
Follow up in 2 business days
If an alternative Rx is received, and no stock of LTS medication. What is the next step.
Advise patient alternative Rx has been received and proceed to schedule.
What is the newest drug added to LTS?
Avtozma
What is the activity type in Five9
CTA.
While scheduling an alert task such as PA/ MAJ insurance related pops up, what disposition in the LTS tool is used?
Pending/ Scheduled, Insurance follow up needed.
If unable to reach the member and not able to leave a message, how many attempt cadence are needed for maximum attempt?
3 attempts.
If the medication has been discontinued, how many attempts to contact the member & MDO before closing the entry in the tool?
1. Successful outbound call to the patient to advise the medication has been discontinued and to discuss the next steps with their prescriber. 1. Successful outbound call to the prescriber to advise the medication has been discontinued.
Who has the authorized role codes to work LTS?
The allocation team (Team RECON)
If there is stock of medication how far out should you scheduled with the member?
Next available delivery date
While scheduling an alert task such as PA/ MAJ insurance related pops up, how far out should you scheduled the order?
7 days out.
If maximum attempts have been reach how do you update the disposition in the LTS tool?
Closed/ not schedule
Do we handle each medication on LTS the same?
No, we handle each medication differently; please pay attention to the medication you are working and follow the given talk tracks for that medication.
What color are escalated patients in the pronet tool?
Red.