First Time PT gets MED:

• 30 Day supply

• If Refill, 90 days supply 

To Do Refill:

• To Order Med to be Delivered

  • Refill

    • F4

      • More Info

        • Central Filled CF Box Check

  • F7 + CF

• When PT wants a Refill

  • Right Click Med

    • Refill

      • F4 & More Info

        • If Not Central Fill

          • Type F7 Select Med with Central Fill

            • Verify Address

              • Save

• LOKELMA

  • If Red pop up,change from 24 days to 30 days if it says dose is supposed to be 1

• C2 Refill

  • To POS or Ring Up Pt

    • Workflow

      • Will Call

        • RX NO

          • Select Medication

• To Enroll PT in Mail Service:

  • Click on RX

    • F2

      • Notes and Flags

        • Select Del

          • Save

            • Del. & Shipping

              • Confirm Address

                • Save

  • As long as MED is central filled checked, we can mail it!

  • Antibiotics cant be mailed

• SAME DAY REFILLS

  • INSULIN + BIKTARVY IF REFILLS AVAILABLE

RETURN TO STOCK:

Click Medication

• Tools

• Label

• All RTS (3rd One)

• File Only

D1UN - GOLYTELY (Polyethylene Glycol Powder)

• Dissolve 17 grams in water and take by mouth.

Vaginal Cream

• Insert 1 applicatorful vaginally at bedtime for 7 days.

• Then, insert 0.5 grams vaginally at night for 7 days, followed by twice a week on Monday and Thursday thereafter.

Sublingual Tablet

• Dissolve 1 tablet under the tongue every 8 hours (may take an additional 1 to 2 tablets per day in case of severe pain).

Topical Application

• Apply topically to skin once as directed by the provider. Apply to all areas of the body, from neck down (or from head to feet), leave on for 8 to 14 hours, then wash off.

Neuropathic Pain Capsules

• Take 2 capsules by mouth twice daily as needed for neuropathic pain in legs. If feeling dizzy or sleepy during the day, decrease to 1 capsule twice daily.

Mouth Rinse

• Swish and spit 15 ml by mouth twice daily (do not swallow).

Fever Medication

• Give ml by mouth every 4 hours as needed for fever ≥ 38.5°C for 5 days.

• Give ml by mouth every 6 hours as needed for fever ≥ 38.5°C for 5 days.

Constipation Suppository

• Unwrap and insert 1 suppository rectally daily as needed for constipation.

Enemas

• Use 2 enemas (226 ml total) rectally as directed by your provider.

Colon Prep Solution

• Mix 1 bottle (238 gm) in 64 ounces of Gatorade or juice and start taking by mouth at 3 pm and finish within 3 hours the day before surgery (follow instructions provided).

Colonoscopy Preparation

• Take as directed by mouth before colonoscopy (use within 48 hours after reconstituting the solution).

Vaginal Cream (Extended Use)

• Insert 0.5 grams vaginally at night for 2 weeks, then twice a week at night thereafter.

Constipation Powder

• Mix 3.4 grams (1 rounded teaspoonful) in water and take by mouth 3 times a day as needed for constipation.

• Dissolve 17 grams in water and drink by mouth daily as needed for constipation.

• Dissolve 1.7 grams (half teaspoonful) in water, then take by mouth three times a day as needed for constipation.

• Dissolve half teaspoonful in water, then take by mouth daily as needed for constipation.

Blood Sugar Monitoring

• Use as directed to check blood sugar before breakfast and after lunch.

• Use as directed to check blood sugar daily.

• Use as directed to check blood sugar twice a day.

• Use as directed to check blood sugar twice a day prior to meals.

• Use as directed to check blood sugar three times a day.

• Use as directed to check blood sugar before breakfast and dinner.

• Use as directed to check blood sugar every morning before meals.

• Use as directed with insulin pens.

Mouth Sores Mixture

• Mix 5 ml of each (dexamethasone, Benadryl, nystatin, carafate, lidocaine), swish and spit mixture by mouth 3 times daily as needed for mouth sores; shake well before use.

Topical Pain Relief

• Apply 4 grams topically to the affected area four times a day as needed for pain (do not exceed 16 grams per day per single joint of lower extremities).

Inhalation Medication

• Inhale the contents of 1 capsule by mouth via HandiHaler device (use two inhalations of one capsule for each dose as directed).

Constipation Powder (Alternate)

• Mix half a rounded teaspoonful (1.7 grams) in liquid, take by mouth twice daily as needed for constipation.

Migraine Tablet

• Take 1 tablet by mouth daily as needed for migraine headache. May repeat dose after 2 hours up to a maximum of 200 mg in 24 hours.

Topical Medication

• Apply to the affected area twice a week on Monday and Friday as directed on package labeling.

LOKELMA

• Dissolve 10 grams (1 packet) in water as directed on package label and take by mouth daily.

Eye Drops

• Instill 1 drop into the left eye four times a day for 1 week, then three times a day for 1 week, then twice a day for 1 week, then once a day for 1 week thereafter.

Nebulizer Medication

• Inhale the contents of 1 vial (2 ml) by mouth via nebulizer twice daily.

Permethrin 5% Cream

• Apply topically once as directed (apply from the skin of head to toes, leave on for 8 to 14 hours before washing off).

• 000 - CASH - NO CLASS II - GABAPENTIN

• 301 - MEDICARE - OUTSIDE PHARMACY | BILL TO THIRD PARTY IF ENROLLED IN A DRUG PLAN >> TROOP THEN BILL PART D

• 307 - MCARE IP EXHAUSTED | PART B ONLY W/MCAL REFER TO PFS

• 311 - REFER TO PFS

• 312 - REFER TO PFS

• 320 - NO CHARGE

• 321 - NO CHARGE

• 325 - CASH

• 326 - NO CHARGE

• 328 - CASH / OUTSIDE PHARMACY

• 345 - REFER TO PFS

• 349 - REFER TO PFS

• 350 - NO CHARGE

• 351 - NO CHARGE

• 352 - NO CHARGE

• 353 - REFER TO PFS

• 358 - NO CHARGE

• 360 - PHARMACY BILL ADAP

• 363 - NO CHARGE

• 365 - REFER TO PFS

• 373 - NO CHARGE

• 375 - NO CHARGE

• 380 - NO CHARGE

• 381 - NO CHARGE

• 383 - NO CHARGE

• 384 - NO CHARGE

• 387 - NO CHARGE

• 388 - NO CHARGE

• 402 - NO CHARGE >> FOR HIV: ONLY 2 MONTH SUPPLY ALLOWED, PATIENT HAS TO APPLY FOR A PLAN

• 403 - NO CHARGE

• 404 - REFER TO PFS

• 405 - NO CHARGE

• 406/000 - NO CHARGE >> BILL MCAL15/17 ONLY FOR HIV/ANTIPSYCHOTICS

• 406/501 - CASH / OUTSIDE PHARMACY

• 407 - NO CHARGE >> FOR HIV: ONLY 2 MONTH SUPPLY ALLOWED, PATIENT HAS TO APPLY FOR A PLAN

• 409 - NO CHARGE >> FOR HIV: ONLY 2 MONTH SUPPLY ALLOWED, PATIENT HAS TO APPLY FOR A PLAN

• 411 - NO CHARGE

• 413 - NO CHARGE

• 414 - NO CHARGE

• 423 - NO CHARGE >> FOR HIV: ONLY 2 MONTH SUPPLY ALLOWED, PATIENT HAS TO APPLY FOR A PLAN

• 424 - NO CHARGE

• 425 - NO CHARGE

• 426 - NO CHARGE

• 427 - BILL ONLINE TO MEDI-CAL TX (MAGELLAN) WITH APP. MRX CODE

• 428 - NO CHARGE

• 431 - NO CHARGE

• 432 - NO CHARGE

• 434 - NO CHARGE

• 438 - OUTSIDE PHARMACY

• 441 - BILL ONLINE TO NAVITUS >> BILL >> DON'T CHARGE COPAY >> Bill Letters First, If not processed > Choose Code With NUMBERS

• ATP Leave Code

• 461 - CASH / OUTSIDE PHARMACY

• 464 - NO CHARGE

• 465 - REFER TO PFS

• 468 - REFER TO PFS

• 469 - REFER TO PFS

• 470 - REFER TO PFS

• 471 - NO CHARGE

• 476 - NO CHARGE

• 478 - CASH

• 480 - NO CHARGE

• 481 - REFER TO PFS

• 484 - CASH

• 490 - REFER TO PFS

• 499 - NO CHARGE

• 501 - CASH > Change to 000 to check price, then switch to Primary Ins.

• 503 - OUTSIDE PHARMACY

• 504 - OUTSIDE PHARMACY

• 508 - OUTSIDE PHARMACY

• 510 - CASH > Change to 000 to check price, then switch to Primary Ins.

• 511 - CASH / OUTSIDE PHARMACY

• 521 - REFER TO PFS

• 522 - REFER TO PFS

• 523 - CASH / OUTSIDE PHARMACY

• 524 - CASH / OUTSIDE PHARMACY

• 525 - CASH / OUTSIDE PHARMACY

• 526 - CASH / OUTSIDE PHARMACY

• 530 - CASH / OUTSIDE PHARMACY

• 531 - CASH / OUTSIDE PHARMACY

• 533 - CASH / OUTSIDE PHARMACY

• 536 - NO CHARGE WITH COUNTY ID

• 537 - NO CHARGE

• 538 - NO CHARGE

• 539 - NO CHARGE

• 543 - CASH / OUTSIDE PHARMACY

• 544 - OUTSIDE PHARMACY

• 545 - OUTSIDE PHARMACY >> TROOP THEN BILL PART D

• 550 - OUTSIDE PHARMACY

• 551 - OUTSIDE PHARMACY

• 555 - OUTSIDE PHARMACY

• 564 - OUTSIDE PHARMACY

• 577 - CASH / OUTSIDE PHARMACY

• 581 - BILL ONLINE TO CVS CAREMARK

• 583 - BLUE SHIELD COMMERCIAL - OUTSIDE PHARMACY

• 614 - BILL ONLINE TO MEDI-CAL TX (MAGELLAN) WITH APP. MRX CODE

• 615 - BILL ONLINE TO MEDI-CAL TX (MAGELLAN) WITH APP. MRX CODE

• 617 - BILL ONLINE TO MEDI-CAL TX (MAGELLAN) WITH APP. MRX CODE

• 636 - OUTSIDE PHARMACY

• 644 - BILL ONLINE TO MEDI-CAL TX (MAGELLAN) WITH APP. MRX CODE >> NON-DHS >> BILL >> 000 CASH

• 646 - BILL ONLINE TO MEDI-CAL TX (MAGELLAN) WITH APP. MRX CODE

• 651 - BILL ONLINE TO MEDI-CAL TX (MAGELLAN) WITH APP. MRX CODE

• 656 - BILL ONLINE TO MEDI-CAL TX (MAGELLAN) WITH APP. MRX CODE

• 661 - BILL ONLINE TO MEDI-CAL TX (MAGELLAN) WITH APP. MRX CODE

• 666 - BILL ONLINE TO MEDI-CAL TX (MAGELLAN) WITH APP. MRX CODE

• 671 - BILL ONLINE TO MEDI-CAL TX (MAGELLAN) WITH APP. MRX CODE

• 870 - REFER TO PFS

• 903 - REFER TO PFS

• 905 - REFER TO PFS

• 907 - REFER TO PFS

• 909 - REFER TO PFS

• 911 - REFER TO PFS

• 912 - REFER TO PFS

To Add Insurance:

• F2

  • RX PLANS - ADD PLAN

  • Plan Code - Type B - BMRX Group ID: MEDICALRX

    • COPY INSURANCE # FROM ORCHID

• ADD ADAP

  • F2

    • RX PLAN

      • ADD

        • TYPE ADAPCA

          • Pick Magellan RX-ADAPCA

            • RELATION: SELF

              • Insurer ID: MEMBER ID: On card

              • GROUP ID ( ON CARD )

----------------------------------------------------------------------------------------------------------------------------------------------------

BILL MEDI-CAL

1. F2 - ADD A PLAN

2. MCAL15 >> SELF >> INSURER ID: ------------94F

3. SUBMISSION CLARIFICATION CODE

   1. COUNT -----------------------------------2

   2. SUB. CLARIFICATION CODE #1 --07

   3. SUB. CLARIFICATION CODE #2 --20

BILL DHS AND NON-DHS PLAN

1. ADD PLAN

2. ADD MEMBER ID (GET ID FROM ORCHID)

3. CLAIM REJECTED

   1. IF HIV AND SAYS "CARVE OUT" OR "BILL FEE FOR SERVICE" > BILL MCAL15

   2. IF DHS > ENTER 651, 646, 441, 644, OR 615

   3. IF NON-DHS > PATIENT PAYS OR FAX TO ROSA

4. BRAND REJECTED

   1. BRAND REJECTED, ASKING FOR GENERIC

      1. IF DHS: 644, 615, 441 > LEAVE AS BRAD

      2. IF NON-DHS: LEAVE AS GENERIC (DAW5)

----------------------------------------------------------------------------------------------------------------------------

441 Override no pay/Receipt - Still Bill

Med Part D - Give Generic for billing

MEDPRIME | CIGNA - Private Insurance We Don’t Take

SilverScript | Argus - We do take

• Bill Silverscript | Argus before billing B-MRX

Whenever RED POPS UP and Insurance Doesn’t COVER - SELECT 000 for Cash Only

F2 - Insurer ID

MEDICARE - WE DONT TAKE COMMERCIAL

• MEDICARE PLAN LIKE CLEAR SPRING HEALTH

  • VALUE RX

  • IN MEDICAL WEBSITE, WILL SEE SHORT CODE IN THE END SAYING R “9”

    • TROOP IT

441 - HOME SUPPORT

• Bill Letters First, If not processed

  • Choose Code With NUMBERS

    • ATP Leave Code

Plan Code:

• TROOP

  • Right Click

    • Check Coverage and Eligibility

      • Current Plan