rx_submission_clarification_type
Valid Values:
| Value | |
|---|---|
| "No Override" | "Other Override" |
| "Vacation Supply" | "Lost Prescription" |
| "Therapy Change" | "Starter Dose" |
| "Medically Necessary" | "Process Compound for Approved Ingredients" |
| "First Fill" | "Prescriber ID Submitted is that of Supervising Prescriber" |
| "Other Prescriber ID Submitted" | "Provider Treating Hospice Patient" |
| "Payer-Recognized Emergency/Disaster" | "LTC Leave of Absence" |
| "LTC Emergency Box/Kit/Unit Dose" | "LTC Dispensing Per Med Administration Record" |
| "LTC Dispensing for 14 Days or Less" | "Long Term Care Provider Override" |
| "Provider Dispensing for 7 Days or Less" | "Medicare Prescription Drug Coverage Determination Pending" |
| "Prescriber/Prescriber Agent requests benefit override" | "Override Beneficiary Not Covered" |
| "Fill of Prescription within 7 Days of Discharge from SNF" | "Denial Override Post-adjudication" |
| "Fill Pursuant to Medical Management Protocol" | "Level of Care Change" |
| "Professional Pharmacy Service" | "Reprocessing" |
| "Patient Specific Dosing" | "Continuation of Therapy" |
| "Payer-Recognized Emergency/Disaster Assistance Request" | "COVID-19 Related" |
| "Payee to Receive 340B Drug Pricing" | "Prescriber Order not Verified" |
| "In Transition" | "Authorized Generic Dispensed as Brand" |
| "340B Override" | "Professional Allowance by State Regulation" |
| "Dispensing Limitation Override" | "Certification on File" |
| "No Prescriber ID Available" | "Prescription Written by a Government Physician" |
| "Special Handling Required" | "Specialty Pharmacy Care Management" |
| "Pharmacy Override" | "Benefit Exclusion Override" |
| "Compliance or Adherence Packaging" | "Pharmacy Coordination of Benefits" |
| "On-Site Administration" | "Pharmacy Dispensing Management" |
| "Pharmacy Clinical Services" | "Medication Synchronization" |
| "Patient Safety" | "Pharmacist Scope of Practice" |
| "Reduced Quantity Dispensed" | "State or Local Law Mandates" |
| "Split Billing" | "Pharmacist Immunization Administration" |
| "Vaccine Administration via Pharmacy Protocol" | "Test to Treat" |
| "Prescriber Override Refill Authorization" | "Prescriber Override Therapeutic Change" |
| "Prescriber Override Drug-Drug Interaction" | "Prescriber Override Step Therapy" |
| "Prescriber Override Prior Authorization" | |