What's in a Name?
The name of the Pharmacy Vendor for the Trust.
What is Express Scripts?
This Search Function will allow you to price a medication.
What is Drug Coverage/Pricing?
This is the most common setting to pick up prescriptions.
What is the Pharmacy?
This is what the F stands for in SF, DF and RF.
What is Format?
He wears it around his neck.
What is a too many Bow Ties....would it kill you to try a tie jerk!?
The name of the Trust's Specialty Pharmacy.
What is the Accredo?
If a member calls stating their doctor received a denial for a medication at the pharmacy, you would use this search function in ESI.
What is Prior Authorizations?
This is the amount of days for a mail order prescription refill.
What is the 90 days?
This is the tab we review primarily on the DF?
What is Claim?
Why he always needs help cooking & can't reach the top shelf.
What is too short.....hobbits tower over him?
The term used to describe the medications that are first on the market.
What is Brand?
The Search Feature can be used instead of BCBSM.com to find a place where a member can fill a prescription.
What is Network Providers?
The providers that match the exact zip code will display as this.
What is Bolded?
This is the icon that displays when Medical Records are received.
What is a paper clip?
Why the morning crew needs ear plugs.
What is too loud/energetic?
The term used in RX to describe an 'Authorization' to allow a medication to process.
What is Override?
This is the Search function that can show you a list of all the medications a member is taking.
What are Claims/Acct Summary?
The Daily Max Quantity amount is on this function.
What is Drug Coverage/Pricing?
This is the column we used to 'tell a story' in class about Blue 2.
What is the Date Column?
Why we visit his class when he's away.
What is his candy bowl.....it was empty once....I hate him.
The term used to describe the medications that must be taken before a 'destination' prescription is taken.
What is Step Therapy?
This Search Function is not used by the DBG team and is green with envy over it.
What is Eligibility Profiles?
Claims can be sorted by these two functions, showing what paid and what did not.
What is processed or rejected?
This is the type of message that a Plan to Plan associate may send after a phone call requesting a refund.
What is Info message?
We can never get anything done because we are laughing.
What is too funny.....and perfect......and wonderful.........