Accumulators
Using Member ID: 808202748
What is the Member's Deductible
$590.00
Locating Member ID: 808018026
What is the Client Name and Line of Business?
Texas, Medicare D
Using Member ID: 89301900120
What is the 6th task listed in unity.
Send Forms
Pharmacy Calls about Member ID: 3HZN5416332003, checking coverage for Biktarvy 30-120-15mg Tab. Is the medication covered?
Yes
Using ID: 89339145100, True or False.
If member only pays for medical claims for the whole year will member meet their deductible?
False.
True or False? Member ID: 808202748 can refill once member has 30% or less of the previous fills over a 180-day lookback period?
True
A case is required to be created for Member ID: 84496669400 what task should be used?
Prime Resolution Task
Using ID: 84273090702
Will the member have copay or coinsurance for non-preferred brand medications?
Neither
Using member ID:807942394
Member pays $2,000 for Humira (2 Pen) 40 mg/0.8 ml Pen-injector Kit. How much of it will go towards deductible?
$590.00
If member ID: 83752549503 meets their deductible how much will the member pay for their medications for the rest of the year?
Member pays nothing. Meeting deductible meets OOP.
What task is used to submit tier exception for Fasenra 30mg/ml Solution Auto injector for the member ID: 807942394?
Submit Coverage Request Task
Is Paxlovid 10x 150 mg & 10x100 mg Tablet Therapy Pack covered under Member ID: 3HZN5416332003
Yes, but requires an approved quantity limits prior authorization.