Audit alert: Pre-printed presciptions
20Aug
By Andrew Kantor
We have received information about a recent audit recoupment of a pre-printed, compounded prescription. Please be aware that language in the
’ Provider Manual regarding pre-printed prescriptions is in Section 2.10 and reads as follows:Network Providers may not produce, distribute, or accept pre-printed or pre-populated prescriptions for Covered Medications that include a controlled substance. This prohibition includes “check the box” order forms. Network Provider acknowledges and agrees that using, accepting,and/or distributing pre-printed or pre-populated prescription forms that include controlled substances constitutes a violation of law, including but not limited to, the Controlled Substances Act and its implementing regulations. PBM may, in its sole discretion, recoup claims and immediately terminate Network Provider for violating this section of the Provider Manual.
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