Product / Service Not Covered [Consignment].

Alternate Insurance Finder website with Plan Search.

A processing number that identifies the insurance and we use to run a claim through insurance.

The copay dollar amount that is too high to apply a copay card, so we use Consignment instead.

1 box - Reject 70 - Consignment - Drug Copay = ?

Step Therapy Required [Consignment].

Insurance through an employee and/or paid for by member with a monthly premium.

An identifier that helps define the specific patient on the account under the same ID #.

The manufacturer steps in to cover the cost of the medication when the insurance does not cover it, providing a free box (or 2) to the patient.

2 boxes - Reject MR - Consignment - Drug Copay = ?

DUR Reject Error [Might be Refill Too Soon].

Different Queues in A1 as the Order makes it way through the process.

The National Provider # that identifies the pharmacy.

When the patient cannot afford $360 cash cost or has a Medicaid plan, we offer them assistance with this.

Cash price cost of 1 box for patient with no insurance or commercial insurance.

Pharmacy Not Contracted.

The Rejection Code we enter to inform the system why we choose Consignment.

When the claim is not connecting with insurance, due to computer / processing issues, and we must try again later.

The FDA-approved dosage for a patient that is below the weight of 66 lbs.

4 boxes - Reject 608 - Consignment - Drug Copay = ?

Unknown / Unable to Find Patient.

The internal system used to process orders, run test claims, call patients, and schedule deliveries.

DAW stands for this.

When the insurance refuses to provide information to us because we are not calling directly from the pharmacy, the next step is this.

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