A
In adding a patient's new shipping address, we need to be sure that resends are prevented by staying within IRIS’s address character limit. No address greater than 32 characters can be selected in the SOF
TRUE
You are to setup an order for Nutropin, Pt is in Colorado, do they have the option to not require signature upon delivery?
NO, as per MEPRO
SIGNATURE REQUIRED IF SHIPPING TO: COLORADO IDAHO MINNESOTA NEVADA RHODE ISLAND WEST VIRGINIA.
Guam accepts deliveries with refrigerated medications.
NO, transit time is longer compared to orders delivered within US States
What is the FAX # and Phone # for Optum Specialty Pharmacy?
FAX: 844-232-7205
Phone: 855-427-4682
REP from MDO called to clarify the RX for Humira, to which Pharmacist Line do you transfer?
RPH MD
PT received the order, and just wanted to know the direction of the med, do you handle or not?
Handle, you can read the direction on the RX, if further question is raised that's the time you transfer to RPH.
To which address should a patient send their payment in response to a Specialty invoice?
PO Box 160, Mission, KS, 66201-0160
Patient calls in today requesting to receive her Humira medication by tomorrow, 12/06/2024. Her plan restricts her to use site 103 only. Is it possible to arrange for the order to be delivered by tomorrow?
No Same Day Orders for Sites 103 – Overland Park and 138 – Happy Valley Except REMS
> Check for Saturday delivery as option
What is the work around for WLB in process?
1. Remove Primary and Secondary plan, hit SAVE then Reverse and rebill- Hold for Missing Plan Assignment will show up
2. Re-apply the Primary and Secondary plan then SAVE and release the hold.
For insurance under New York Medicaid, which pharmacy site are we contracted to dispense?
Site 107 & 131
PT calls to refill Otezla, PTs plan is under BlueCross of Blueshield of Arizona, handle or not? Why?
No, transfer to dedicated team OptumRX Specialty - BAZ
Patient would like to deliver the medication on Monday, 12/09/2024, what site and courier is allowed?
>Site 126 only thru UPS
What will happen to SMF Program if the consumers will not reply to the re-enrollment text message?
PT/Consumers will be disenrolled from SMF program at the end of 2024.
What to do if you receive a call from someone informing us that patient had passed away?
1. Create a Cust Svc Pt Deceased Task
2. Call a Pharmacist to advise patient is deceased
452745349- PT called in to refill Mychophenolate and Tacrolimus, do you handle or not? Why?
NO, med is covered thru Part B ( Ominsys)
As per MEPRO: IF MEDICARE PART B HAS BEEN EVALUATED AND IDENTIFIED TRANSFER TO 'OptumRx Specialty-Expert Onshore' (855.427.4682)