WISMO
RETAIL TO MAIL
REFILLS
OTC
FUN ONE
100

what is the TAT for member rewards gift cards?

what is:10-14 business days but can take up to 45

100

If a new member wants to enroll in Humana Pharmacy, what do you do?

What is:Warm transfer them to RxEducation.

100

How can members order their OWN refills?

What is: 

  • Mailing in a refill form.
  • Logging onto www.humanapharmacy.com.
  • Responding to an email alert.
  • Using our outbound or inbound automated phone lines
100

What is the TAT for an OTC catalog?

what is: 7-10 business days

100

What Disney movie is based in Agrabah?

what is: Aladdin

200

How many times do you verify an address for WISMO?

What is : 2 Times

200

What is the TAT for Retail to Mail?

What is: 7-10 days after Provider responds.

200

What options should you give to a member that doesn't have enough of their medication to last while waiting on their refill?

What is: 

  • Obtain  samples from their MDO to last until the HP order delivers.
  • Cancel (or keep) this HP order, request a pharmacy override to address the RTS situation, then either continue to fill with HP or fill locally.
    • Note 1:   To fill locally, the member must either:
      • Have a prescription  in hand to present to the local pharmacy
      • Have a prescription already on file at their local pharmacy
    • Note 2:  Offer expedited shipping ($6.99 fee). 
200

What is #258?

what is: psyllium fiber laxative tablets
200

I smell like...

what is : Beef

300

What does it mean when an order is in CREDIT CARD EXCEPTION QUEUE?

what is: There may be a problem with the credit card authorization if an order has current status of Credit Card Exceptions longer than 5 minutes

300

If a member has LIS, what system do we use?

what is: RX Look up

300

When is the next refill date?

what is: when you have used 82% of your MEds for a 90 days or 80% for a 30% control substance. 

300

What are the two places you can view a members benefit and remaining allowance?

what is: Argus (RX Nova) and Web Registry

300

What is Craig' favorite baseball team?

what is: Boston Red Sox

400

What do you do if a member does not receive their order in the appropriate TAT?

what is: warm transfer to clinical services for possible reship

400

What plan can a member order Diabetic Supplies with?

what is: MAPD

400

How many times do you verify an address during the duration of a refill order call?

3 Times.

400

When is the last day you can place an order for monthly allowances and quarterly allowances?

what is: the 20th and the last week of the last month of the quarter

400

UGH, you almost made me drop my....

what is: croissant

500

what do you need to make sure to ask MBR before closing on their RX fill?

What is: Will you have enough medications to last for the TAT of 5/7 or 7/10?

500

If a drug is not available in RTM, what do you do?

what is: transfer case to doctor call

500

what is Humana Pharmacy's fax number?

what is: 18003797617

500

When do taxes apply?

what is: when they exceed their OTC benefit

500

In what year did Walt Disney die?

what is : 1996

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