Reject Codes
What is Reject Code 75?
P.A. Required
What state has a 4 Day Supply limit on some medications?
California
What is Reject Code 608?
Travelers NY Peri-op Meds are limited to how many day supply?
7-Day supply within a 30-Day period
What are Reject Codes that require a callout to the pharmacy?
E9/EY
54
57 OR 58
826
608
What Reject is prescriber not covered?
71
What is considered "After Hours"?
3PM EST/1PM MST & Weekends
Where would you check for the alternative medication when working a 608 Reject?
Log Tab
What Reject Code is Gen Sub Rules?
57 or 58
What date did the NY Formulary take place?
12/05/2019
What are the priority items when working RTR's?
* Travelers New York Peri-Op
* Travelers New York Portal - All Other
* Reject 608: Step Therapy
What Reject Code would you see if the prescriber's information is not found in PHI?
826
If you get a call from the New York Work Comp Board who would forward the caller to?
Rachel Falk or Joni Scherer
What clients would you create a EPAQ request for if the Reject Code was 57?
AIMS, LWCC, AMC - SAC