Pharmacy Acronyms
NDC
National Drug Code
What state did CenterWell Pharmacy originate?
Arizona
This phase is the initial part of our member's coverage before CWP starts sharing the drug cost.
Deductible
This process involves running a claim to determine if the medication has a copay or not.
Test Claim
What tool/s do we use to check a member's copay by doing a test claim?
Rx Nova & Rx Connect Pro
DEA
Drug Enforcement Agency
What is CenterWell Pharmacy's vision statement?
One Dream, One Team.
It is a fixed amount a member may have to pay each time they receive prescription drugs
Copay
What is the shipping TAT for refilling "active" and "refillable" prescriptions?
3-5 business days from the order was placed
What does OMS mean?
Order Management System
ANOC
Annual Notice of Change
In what year did Humana Pharmacy rebrand to Centerwell Pharmacy?
2022
This occurs when a member chooses to pay out of pocket for a medication not covered by his/her pharmacy benefits.
Cash and Carry
You are on a call with David. You are now in the Diabetes Supplies Tab in RTM, and he informs you his provider requires him to test his blood sugar at home. What is your next step?
Inquire which meter he prefers to use
What tool/s will you use to process a refill for a medication with an "Expired" status and with the same provider and drug strength listed on the prescription?
CRM
MDL
Maximum Dispensing Limit
Complete this Mission Statement:
Thriving together, we’re passionate about delivering a ________________ and inspiring health in each member with pride and spirit
Perfect experience
It's a type of benefit that can be used for a variety of food, household and over the counter (OTC) products.
Healthy Options Allowance/Benefit
For Vacation Override, a member can request up to how many months for a single override?
Up to 6 months
What tool/s will you use to process a refill for a medication with a "Refillable" status but the member told you that her doctor has changed the strength of the medication.
RTM
LTC
Long Term Care
Prior to rebranding to CenterWell Pharmacy, what is its original name back in 2006?
RightSource
Less expensive drugs that are chemically and pharmaceutically similar but not equivalent to the brand version
Alternative Drugs
After you've stated the Transition Statement, Debrah replied, “I enjoy my trips to the pharmacy. I like to get out of the house and spend time with my friends.” What is an appropriate rebuttal to the member’s objection?
You can still use your retail pharmacy for non-maintenance medications and other pharmacy needs while taking advantage of the safe and free delivery of your maintenance medications with CenterWell Pharmacy. How's that sound?
What is the difference between the authorization you can see in CRM versus the ones you can see in RXNova?
The difference between the authorization found in CRM versus the one found in RxNova is that CRM shows authorizations for nonformulary medication whereas RxNova shows the authorizations for Order Overrides