you got it
how long does the member have to submit the DRM claim
90 days
true or false: we can do a dosage change override
true
who is the TMO for UMI
Birdi
UMI DMR Fax number
DMR fax number: 866-291-3732
who handles the CEM override
sup escalation to UMI:
if member is having issues related to coverage who helps with that issue?
Shared service center
UMI what is the day supply for an early refill
34 days
which overrides are allowed 1 time per medication per 6 months
vacation, lost, stolen, spilled, natural disasters, member took medication incorrectly, additional supply
can we process ID request for UMI if so what is the process?
yes
Call Category: Patient Inquiry – Call Type: Card Request – Response Code: Escalate to ERx 2. Enter a Work Log Note using the format: Number of ID cards <#> Reason . 3. Resolve the Contact Detail
who do we refer to for extended vacation supply request
UMI shared services
which medication are only allowed five prescriptions per life time for infertility?
Bravelle® (urofollitropin), Follistim® AQ (follitropin), Gonal-f ® (follitropin alfa), and Menopur® (menotropins).
Can we complete an R6 override?
no we can not
what is UMI shared services number
734-615-2000 or 866-647-7657
true or false: Products with the Michigan Medicine Network (MMN) indicator can only be filled at Prime Therapeutics Specialty Pharmacy
false
what needs to be done to process an R6 override
we would need to contact joy rd if they do not have it then see if birdi has the medication if they do not then we need to contact prime to see if they have it if they do not we will need to fill out the template and place in sup que for plan approval