Knowledge Library
This document contains the standard procedures for PCAs.
What is the PCA SOP?
Patients with REMS medications will be transferred here.
What is Nursing Queue?
You receive this rejection when a medication is not covered under the patient's plan formulary.
What is Rejection code 70 or Product/Service Not Covered- Plan/Benefit Exclusion?
What is Saved Order-Reception status?
What is Cost Relief?
This document contains the Pharmacy Location and Contact Information.
What is the Pharmacy Site Information Job Aid?
New Medicare Consent patients will be transferred here.
What is the ECMP Queue?
This rejection is common for medications that need approval from insurance prior to dispensing.
What is Rejection Code: 75 or Prior Authorization Rejection?
The system will automatically process orders/claims in this workflow.
What is Adjudication status?
This assistance can help patients that are being treated for Oncology, HIV, HCV, or MS.
What is PFC?
This document provides additional details on CPS Alerts.
What is the Common CPS Alerts Used by PCAs Job Aid?
What is Cost Relief?
Patients will receive this rejection when attempting to fill a recently filled medication.
What is Rejection Code: 79 or Fill Too Soon?
Medications in this status will be scheduled for delivery by nurses.
What is the Pv2 or Pre-Verification status?
This assistance is provided by the manufacturer for commercially insured patients. This assistance will only apply after insurance has been processed.
This document provides details of order status including the team the works the status, they process for that status, and possible scenarios for the status.
What is the EnterpriseRx Workflow Status Job Aid?
Oncology patients may be transferred here for assistance with copays.
What is Financial Assistance (PFC) Queue? (PFC is also accepted)
You will receive this rejection when patient's plan is not on file as entered or when a patient is terminated and no longer has third party insurance coverage.
Medications in this status will be review by Pharmacist for final checks before sending out for delivery.
What is Final Verification?
What is the Manufacturer Bridge Program (Also accept Bridge Program)
This document provides contact details for the medication assistance through the manufacture.
What is the Manufacture Copay Card Program Job Aid?
Patients needing to make a payment for a sold medication will need to speak to this team.
What is Accounts Receivables?
This rejections occurs when prescribed medication could have potential to cause adverse side effects when taken with other prescriptions.
What is Rejection Code: 88 or DUR Reject Error?
Medications in this status generally require contact with MDO for prescription updates or renewal.
What is Contact Manager?
This type of assistance provides direct copay assistance for eligible patients. Payment is taken at the time of scheduling.
What is Manufacturer Debit Card?