Adjudication Holds
Systematic hold applied when medication goes over max dose on formulary
WHAT IS OVER MAX DOSE HOLD (DUR-OMD)?
Systematic hold when a c2 medication attempts to ship from one site but the hardcopy is at another site
WHAT IS A C2 HARD COPY HOLD?
systematic hold applied when an item could be filled to either part b or d. medicare members only
WHAT IS A B VS D VALIDATION HOLD?
WHAT IS A TIPS HOLD?
WHAT IS A RETRY HOLD?
WHAT IS A REJECT 75?
Systematic hold applied when drug allergy is identified by the Drug Information Bridge.
WHAT IS A DUR-ALLERGY HOLD?
HOLD ORDER BY ZIP CODE FAILURE
WHAT IS A HOBZ HOLD?
HOLD APPLIED WHEN NO QUANTITY IS IN STOCK AND ETA IS GREATER THAN 7 DAYS
WHAT IS A LTOOS HOLD?
AN ERROR IN THE EXPORT PROCESS IS ENCOUNTERED
WHAT IS QMSI EXPORT HOLD?
Systematic hold when adjudication reversal failed; reprocessing required
WHAT IS AN ADJUDICATION REVERSAL FAILURE?
Systematic hold when there is a technical issue with the drug file
WHAT IS A DUR-DIB HOLD?
INFORMATION REQUIRED FOR WORKFLOW TO PROCEED FAILS TO VALIDATE
WHAT IS AN ORDER VALIDATION EXCEPTION HOLD?
WHAT IS A STOOS?
WHAT IS IMAGE EXCEPTIONS HOLD?
WHEN NEW /UPDATED SECONDARY COVERAGE INFO IS NEEDED
WHAT IS A COB HOLD?
PMP HOLD ORDER BY ZIP CODE FAILURE. MEMBER, PRESCRIBER, SHIP TO ADDRESS IS IN A STATE THAT REQUIRES ADDITIONAL REVIEW
WHAT IS A PMP-HOBZ HOLD?
WHEN WORKLOAD BALANCING CANNOT DETERMINE WHICH PHARMACY LOCATION CAN FULFILL THE PRODUCT
WHAT IS AN MRD HOLD?
NOT QTY IN STOCK AND ETA IS 3-7 DAYS
WHAT IS AN ITOOS?