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100

UMI: how long does the member have to submit the DMR claim

90 days

100

unc what is  Shared Services Center Pharmacy phone number

984-974-6779, option 3.

100

umi true or false: Products with the Michigan Medicine Network (MMN) indicator can only be filled at Prime Therapeutics Specialty Pharmacy

false

100

umi who do we refer to for extended vacation supply request

UMI shared services

100

can we give alternative drugs out 

yes 

200

UNC For replacement ID cards what should be done?

For replacement ID cards, please refer member back to Brighton at 877-606-6739.

200

who is the TMO for UMI

Birdi

200

true or false overrides for UNC dose change is allowed for 1 time per per  medication for 1 year from January to December?

false

200

unc: what is camp 

The Carolina Assessment of Medications Program (CAMP) Chronic Conditions Program is a special pharmacy program that connects you with a UNC Clinical Pharmacist who will support you in managing your medications and conditions. By participating in this voluntary program, you will be eligible to receive medications for certain chronic conditions free of charge or at a reduced cost at one of the UNC In-House Pharmacies.

200

can we enter a DAW code when running a test claim to see what it will pay out for? 

yes 

300

 UMI DMR Fax number

 DMR fax number: 866-291-3732

300

who handles appeals for UNC

Prime Therapeutics

300

umi  if member is having issues related to coverage who helps with that issue?

Shared service center

300

umi which overrides are allowed 1 time per medication per 6 months

vacation, lost, stolen, spilled, natural disasters, member took medication incorrectly, additional supply

300

"If April showers bring May flowers, what do May flowers bring?"

Pilgrims

400

UMI how many days can a RTS override be done for?

34 days

400

what is UMI shared services number

734-615-2000 or 866-647-7657

400

to look up the copayment structure for UNC members where are three areas we can look at?

ext group on the  patient tab

financial accumulations 

custom drug coverage 

400

true or false: All mail order claims must be filled at the UNC Shared Services Center Pharmacy

true

400

Barney & Friends is an American children's television series that originally ran on PBS Kids from

 April 6, 1992, to November 2, 2010.

500

what is UNC fax number for PA's

Fax number: 866-272-4093

500

umi 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

500

UMI who handles the CEM override

sup escalation to UMI:

500

unc: what tier for Diabetes Medications: are a $0 copay/coinsurance 

tier 1