What does this term mean?
A short-term supply of medication dispensed at $0 while BlinkRx waits for insurance approval or a PA outcome.
What is Bridge Fill?
This banner appears when an order is designated as a cash order. You should NOT use the override button.
What is the Cash Order banner?
In the Tarsus addendum, what cash assistance price is offered to an uninsured Xdemvy patient and which pharmacy fulfills the order?
What is $30 cash assistance, fulfilled through Thrifty White?
A commercially insured patient's Miebo copay is $280 for EMISAR/UHC/OPTUM. What do they pay on their 1st fill and how is the order fulfilled?
What is $0 — filled at retail? (Commercial Covered Low Copay, ≤$310 for EMISAR/UHC/OPTUM)
A patient asks why their price isn't showing yet. You suspect it's program-related. What do you search in Guru first?
What is "Pricing Delay" (also accept: "Pricing Delay protocol")?
When a patient's insurance copay is higher than the available cash price, and the system offers the cheaper option instead.
What is Flip to Cash?
This banner appears when a patient may have Medicare, Medicaid, or similar coverage. Discount eligibility must be verified before assistance is applied.
What is the Government Insurance Eligibility Check banner?
(Also accept: Fed Check banner)
In the Phathom addendum, a government-covered patient's Voquezna claim is covered. What do you offer and what do you NOT offer?
What is no assistance, offer the insurance price only? (Government-covered patients are not eligible for the savings or cash pay program.)
A patient paid $0 for their first Xiidra fill. Now they're calling because their refill is $79. Their PA was sent to the payer and denied. What concept explains this?
What is a Bridge Fill? (The $0 first fill was a bridge fill while the PA was pending/denied. The ongoing cash consignment price is $79 per unit.)
You're working a Tarsus Xdemvy order and a patient says they were told they may qualify for the HealthWell Foundation. What do you search in Guru and what card do you open?
What is searching "Tarsus Patient Assistance Program" or "HealthWell" and opening the Tarsus PAP Guru card (Script-BlinkRx: Tarsus Patient Assistance Program)?
A manufacturer-set rule that delays showing a price until a PA is approved or a waiting period ends.
What is a Pricing Delay?
This banner shows up in orange on the patient's active orders and shows the date pricing might be available. A green version indicates the pricing is available & PA determination.
What is the Pricing Delay banner?
In the Primus addendum, what is the copay assistance price for 1 unit of Impoyz for a commercially insured patient whose copay is above $750 and is there a quantity limit?
What is $39 for 1 unit, with a quantity limit of 1 unit, filled through cash consignment?
A Voquezna patient's commercial copay is $380, above the $302 threshold. What do you offer them, and what else do you present alongside it?
What is the Cash Pay Program at $55 — and also present the copay option, so the patient has both choices? (Per-fill support limit: $247.)
A patient's order shows a "Government Insurance Eligibility Check" banner. You've never seen this one before. What do you search in Guru, and what are you looking for?
What is searching "Government Insurance Eligibility Check" or "Fed Check", looking for the protocol on how to verify the patient's insurance type before applying any assistance?
When a government-insured patient accepts a cash price and receives assistance, locking them into cash pricing for that medication for the rest of the calendar year.
What is Restricted to Cash (R2C)?
This banner indicates that insurance pricing is not offered because of rejected claims or lack of PA approval, common with Caremark and Optum plans.
What is the Restricted to Consignment banner?
In the B+L addendum, what does it say about patients under 18 years old and copay assistance for Miebo?
What is: patients under 18 are NOT eligible for copay assistance or discounted cash price offers, offer the insurance price if covered, or the full WAC price ($852.32 per unit)?
A Miebo patient has Medicare Part D and their PA is pending. It's their first fill. What happens and what must you wait before telling them about it?
What is dispense a bridge fill at $0 and wait 48 hours before notifying the patient of the bridge fill option? (2 bridge fills available if PA is initiated.)
You're working a Miebo order for a government patient and need to confirm how many bridge fills they're eligible for. You can't remember the rule. Where do you go, and what exactly do you search?
What is opening the B+L addendum in Guru (search "Bausch + Lomb addendum" or "Pharma Programs Addendums"), navigating to the Miebo Business Rules table, finding the Government Not Covered/Requires PA row?
The maximum dollar amount a manufacturer will contribute toward a patient's medication cost through their assistance program, after which the patient pays full price.
What is the Max Assistance Limit?
A patient with government insurance took a cash price last fill and received assistance. This banner now appears on every subsequent order for that medication. What is it, and what can you NOT do?
What is the Restricted to Cash banner and you cannot revert the patient to insurance pricing for the remainder of the calendar year?
In the Tarsus addendum, effective December 16, 2025, what is required before you can offer the $30 cash price to a commercial patient and what is no longer permitted?
What is: a denied PA is required - manual overrides for PA cases in "sent to payor" status are no longer permitted?
A commercial patient's Flip to Cash offer appears in RxOS for their Miebo order: two prices are showing. The patient asks why there are two prices. What do you explain, and what must happen before any decision is made?
What is: the insurance copay is above the Flip to Cash threshold, so both the insurance price and a lower cash price are being published, the patient must choose which price they prefer before the order can proceed? (The choice is theirs, do not decide for them.)
A patient says their Voquezna prescription was covered last month but is being rejected this month with code 75. Your next step requires you to find the PA rejection rule for Phathom. What do you search and what does the addendum tell you to do?
What is searching the Phathom addendum in Guru, the Business Rules table shows that reject code 75 falls in the group requiring you to initiate a PA and wait 7 days before offering the Cash Pay Program at $55?