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basis of reimbursement determination codes

Pharmacist may also use other HCPCS/CPT codes such as Evaluation and Management or immunization codes. Required if and only if current repetition of Additional Message Information (526-FQ) is used, another populated repetition of Additional Message Information (526-FQ) follows it, and the text of the following message is a continuation of the current. WebIts content included administrative items and other artifacts for Centers for Medicare & Medicaid Services (CMS) Quality Reporting Programs, State all-payer claims databases (APCDs), Children's Electronic Health Record (EHR) Format, and Agency for Healthcare Research and Quality (AHRQ) Patient Safety Common Formats, as well as standards for 02 = Amount Attributed to Product Selection/Brand Drug (134-UK) WebThe Compound Ingredient Basis of Cost Determination field (490-UE), should equal 09 (Other) to identify the ingredient that would normally be assigned a KP modifier. Basis of Cost Determination = This is not a required field on the claim, but 05 (Acquisition) or 08 (340B/Disproportionate Share Pricing/Public Health Service) will be accepted if submitted on the claim. Q,iDfh|)vCDD&I}nd~S&":@*DcS|]!ph);`s/EyxS5] zVHJ~4]T}+1d'R(3sk0YwIz$[))xB:H U]yno- VN1!Q`d/%a^4\+ feCDX$t]Sd?QT"I/%. The Helpdesk is available 24 hours a day, seven days a week. Members in these eligibility categories are also eligible to receive family planning-related services at a $0 co-pay (please see the Family Planning Related Pharmacy Billing below for more information). WebEmergencyOverride code 324-CO Patient State/Province Address ; RW : Required for some federal programs, when submitting SalesTax, or EmergencyOverride code 325-CP Patient Zip/Postal Zone; R: Required for some federal programs, when submitting SalesTax, or EmergencyOverride code 37-C7 Place of Service; RW : Required when necessary for plan Required if Other Amount Claimed Submitted (480-H9) is greater than zero (0). Required for partial fills. If a pharmacy is made aware of eligibility after 120 days from the date of service, the pharmacy may submit the claims electronically by obtaining a PAR from the Pharmacy Support Center, or by paper using a pharmacy claim form. If additional information is requested in order to process the PAR, the physician should provide the information by phone or fax. Required when necessary for plan benefit administration. Other Payer Bank Information Number (BIN). Required when Patient Pay Amount (505-F5) includes sales tax that is the financial responsibility of the member but is not also included in any of the other fields that add up to Patient Pay Amount. Added Temporary COVID section, updated Provider Web Portal link, Updated verbiage to include the NCPDP D.0 guidelines for field 460-ET, Updated DAW Codes: Updated Dispense as Written (DAW) Override Code table. Required when any other payment fields sent by the sender. The form is one-sided and requires an authorized signature. Required when Previous Date Of Fill (530-FU) is used. Enrolled Medicaid fee-for-service (FFS) members may receive their outpatient maintenance medications for chronic conditions through the mail from participating pharmacies. PARs are reviewed by the Department or the pharmacy benefit manager. ), SMAC, WAC, or AAC. Required when Reason For Service Code (439-E4) is used. 1750 0 obj <>stream A pharmacy should utilize field 461-EU on a pharmacy claim to indicate 6-Family Plan to receive a $0 co-pay on family planning related medications. For DAW 8-generic not available in marketplace or DAW 9-plan prefers brand product, refer to the Colorado Pharmacy Billing Manual", Allowed by Prescriber but Plan Requests Brand. Effective 10/22/2021, Updated policy for Quantity Limit overrides in COVID-19 section. Response DUR/PPS Segment Situational Response Prior Authorization Segment Situational Required if Approved Message Code (548-6F) is used. Services cannot be withheld if the member is unable to pay the co-pay. AMOUNT ATTRIBUTED TO PRODUCT SELECTION/BRAND DRUG. OTHER PAYER-PATIENT RESPONSIBILITY AMOUNT, Required for all COB claims with Other Coverage Code of 2 or 4. For 8-generic not available in marketplace, 9-plan prefers brand product, or refer to the Colorado Pharmacy Billing Manual. The maternity cycle is the time period during the pregnancy and 365days' post-partum. CMS began releasing RVU information in December 2020. Required if this value is used to arrive at the final reimbursement. A member has tried the generic equivalent but is unable to continue treatment on the generic drug and criteria is met for medication. 11 = Amount Attributed to Product Selection/Brand Non-Preferred Formulary Selection (136-UN) May be used for cases where Health First Colorado's drug list designates both a brand drug and its generic equivalent as non-preferred products and also designates that the non-preferred brand product is favored for coverage over the equivalent non-preferred generic. Required when this value is used to arrive at the final reimbursement. An additional request for reconsideration may be submitted within 60 days of the reconsideration denial if information can be corrected or if additional supporting information is available. Purchaser shall compensate Manufacturer for any such additional services on an Expense Reimbursement Basis. Drug list criteria designates the brand product as preferred, (i.e. Required when Other Payer-Patient Responsibility Amount Qualifier (351-NP) is used. Required when Help Desk Phone Number (550-8F) is used. Figure 4.1.3.a. This dollar amount will be provided, if known, to the receiver when the transaction had spending account dollars reported as part of the patient pay amount. Pharmacist may also use other HCPCS/CPT codes such as Evaluation and Management or immunization codes. Incremental and subsequent fills may not be transferred from one pharmacy to another. Required if Quantity of Previous Fill (531-FV) is used. Response DUR/PPS Segment Situational Response Prior Authorization Segment Situational If the PAR is approved, the pharmacy has 120 days from the date the member was granted backdated eligibility to submit claims. Required for this program when the Other Coverage Code (308-C8) of "3" is used. 1727 0 obj <>/Encrypt 1711 0 R/Filter/FlateDecode/ID[]/Index[1710 41]/Info 1709 0 R/Length 94/Prev 551050/Root 1712 0 R/Size 1751/Type/XRef/W[1 3 1]>>stream Members can receive a brand name drug without a PAR if: Members may receive a brand name drug with a PAR if: The pharmacy Prior Authorization Form is available on the Pharmacy Resources web page of the Department's website. The table below Prescriptions generally cannot be dispensed in quantities less than the physician ordered unless the quantity ordered is more than a 100-day supply for maintenance medications or more than a 30-day supply for non-maintenance medications. DISPENSE AS WRITTEN (DAW)/PRODUCT SELECTION CODE. Please Note: Incremental and subsequent fills are not permitted for compounded prescriptions. Download Standards Membership in NCPDP is required for access to standards. Required if needed to uniquely identify the relationship of the patient to the cardholder ID, as assigned by the other payer. iT|'r4O!JtN!EIVJB yv7kAY:@>1erpFBkz.cDEXPTo|G|r>OkWI/"j1;gT* :k $O{ftLZ>T7h.6k>a'vh?a!>7 s All necessary forms should be submitted to Magellan Rx Management at: There are four exceptions to the 120-day rule: Each of these exceptions is detailed below along with the specific instructions for submitting claims. All claims for incremental and subsequent fills require valid values in the following fields: Please note: if a pharmacy submits a claim for a non-Schedule II medication and includes a value for quantity prescribed, it must be a valid value. A generic drug is not therapeutically equivalent to the brand name drug. endstream endobj startxref Notification of PAR approval or denial is sent to each of the following parties: In addition to stating whether the PAR has been approved or denied, a PAR denial notification letter is sent to members. If the medication is not on the family planning-related drug list, then the prescriber will need to complete a prior authorization to confirm that the drug was prescribed in relation to a family planning visit. WebBASIS OF REIMBURSEMENT DETERMINATION RW: Required if Ingredient Cost Paid (506-F6) is greater than zero (0). This field explains how the drug ingredient cost was derived; whether DOJ, FUL, AWP (As of October 1, 2011, AWP pricing will no longer be available. If the reconsideration is denied, the final option is to appeal the reconsideration. DESI drugs and any drug if by its generic makeup and route of administration, it is identical, related, or similar to a less than effective drug identified by the FDA, Drugs classified by the U.S.D.H.H.S. Drug used for erectile or sexual dysfunction. Required when Dispensing Status (343-HD) on submission is "P" (Partial Fill) or "C" (Completion of Partial Fill). WebIn a physical inventory model, a prescription for an Eligible Patient could be filled partially with drugs from the Section 340B inventory and partially with drugs from the non-Section 340B inventory for such reasons as inventory shortage, short Pharmacies may use the number 8 in Field # 420-DK instead of obtaining a PA for non-covered ingredients to allow the claim to pay for the ingredients that are considered a covered benefit. Required when the sender (health plan) and/or patient is tax exempt and exemption applies to this billing. The physician is of an opinion that a transition to the generic equivalent of a brand-name drug would be unacceptably disruptive to the patient's stabilized drug regimen and criteria is met for medication. Webb) A Basis of Cost Determination value of 08 (340B Disproportionate Share Pricing) indicates the drugs that are to be paid at the pharmacys 340B drug acquisition cost c) The drugs Actual Acquisition Cost must be entered into the Submitted Ingredient Cost field In addition, some products are excluded from coverage and are listed in the Restricted Products section. Required when the patient meets the plan-funded assistance criteria, to reduce Patient Pay Amount (505-F5). WebAWP Reimbursement Basis - Complete the following tables using the drug reimbursement that your organization is willing to guarantee on a dollar-for-dollar basis for each year of the contract. Claims that cannot be submitted through the vendor must be submitted on paper. hbbd```b``} DL`D^A$KT`H2nfA H/# -~$G@3@"@*Z? We anticipate that our pricing file updates will be completed no later than February 1, 2021. Helps to ensure that orders, prescriptions and referrals for Health First Colorado members are accepted and processed appropriately. This requirement stems from the Social Security Act, 42 U.S.C. Prescription cough and cold products may be approved with prior authorization for an acute condition for Dual Eligible (Medicare-Medicaid) members. Electronic claim submissions must meet timely filing requirements. Member's 7-character Medical Assistance Program ID. The following lists the segments and fields in a Claim Reversal Transaction for the NCPDP Telecommunication Standard Implementation Guide Version D.0. Required to identify the actual group that was used when multiple group coverage exist. The replacement request and verification must be submitted to the Department within 60 days of the last refill of the medication. Separately, physician administered drugs must have a UD code modifier on 837P, 837I and CMS 1500 claim formats. Required when Approved Message Code Count (547-5F) is used and the sender needs to communicate additional follow up for a potential opportunity. Web Basis of Cost Determination should be submitted with the value 15 (Free product at no associated cost). Claims submitted with the Prescriber State License after 02/25/2017 will deny NCPDP EC 25 - Missing/Invalid Prescriber ID. These medications (e.g., Paxlovid) still need to be billed to Colorado Medicaid, even though they are free of cost, and the claim requirements for billing free medications is outlined below: The Health First Colorado program uses the National Council on Prescription Drug Programs (NCPDP) electronic format and the Pharmacy Claim Form (PCF) to submit prescription drug claims. enrolled prescribers, pharmacists within an enrolled pharmacy, or their designees). Members of these eligibility categories will be subject to utilization management policies as outlined in the Appendix P, PDL or Appendix Y. Required if Basis of Cost Determination (432-DN) is submitted on billing. Non-maintenance products submitted by a pharmacy for mail-order prescriptions will deny. We anticipate that our pricing file updates will be completed no later than February 1, 2021. Note: Fields that are not used in the Claim Billing/Claim Re-bill transactions and those that do not have qualified requirements (.i.e., not used) for this payer are excluded from the template. Required only for secondary, tertiary, etc., claims. Web*Basis of Reimbursement Determination (522-FM) is 14 (Patient Responsibility Amount) or 15 (Patient Pay Amount) unless prohibited by state/federal/regulatory agency. If there is a marketplace shortage for the generic version of the prescribed drug and only the brand-name product is available, claim will pay with DAW 8. Pharmacy Billing Procedures and Forms section of the Department's website, NCPDP Uu~Daw 0 Cannot Be Submitted Ms Drug W/Avail Generics~50740~Error List Daw0 Cant Be Submit Ms Drug W/Avail Gen. Prescriber has indicated the brand name drug is medically necessary. OTHER PAYER-PATIENT RESPONSIBILITY AMOUNT QUALIFIER. Pharmacies may request an early refill override for reasons related to COVID-19 by contacting the Pharmacy Support Center. Prescriptions must be written on tamper-resistant prescription pads that meet all three of the stated characteristics. If a resolution is not reached, a pharmacy can ask for reconsideration from the pharmacy benefit manager. Signature requirements are temporarily waived for Member Counseling and Proof of Delivery. : Illustration of Cost Reimbursable Basis of Payment Types and their Components 4.1.3.1 COST REIMBURSABLE WITH NO FEE Definition This basis of payment provides only for the reimbursement to the contractor of actual costs incurred.. WebBasis of Reimbursement Determinationis an optional field that can be returnedon a paid or duplicatebilling transaction. Claim with the generic product, NCPDP EC 8K-DAW Code Not Supported and return the supplemental message Submitted DAW is supported with guidelines. Required when Approved Message Code (548-6F) is used. 07 = Amount of Co-insurance (572-4U) Required when the customer is responsible for 100 percent of the prescription payment and when the provider net sale is less than the amount the customer is expected to pay. Required if needed to provide a support telephone number to the receiver. Required if necessary as component of Gross Amount Due. Providers should also consult the Code of Colorado Regulations (10 C.C.R. Required when there is a known patient financial responsibility incentive amount associated with the Preferred Product ID (553-AR) and/or Preferred Product Description (556-AU). CMS began releasing RVU information in December 2020. Horizon BCBSNJ is in the process of obtaining all necessary information required to update our pricing files. Members within this eligibility category are only eligible to receive family planning and family planning-related medication. Required if Patient Pay Amount (505-F5) includes co-pay as patient financial responsibility. Unless otherwise communicated in the PDL or Appendix P, maintenance medications may be filled for up to a 100-day supply, and non-maintenance medications may be filled for up to a 30-day supply. For the expanded income group, if the prescriber confirms that the drug was not prescribed in relation to a family planning visit, then it will be denied. %PDF-1.5 % NCPDP EC 8K-DAW Code Not Supported and return the supplemental message Submitted DAW is supported with guidelines. "Required When." Drugs administered in the physician's office, these must be billed by the physician as a medical benefit on a professional claim. Prescription cough and cold products include non-controlled products and guaifenesin/codeine syrup formulations (i.e. Drugs administered in a dialysis unit are part of the dialysis fee or billed on a professional claim. Values other than 0, 1, 08 and 09 will deny. The following lists the segments and fields in a Claim Reversal response (Approved) Transaction for the NCPDP Telecommunication Standard Implementation Guide Version D.0. Instructions for Completing the Pharmacy Claim Form - update to Prescriber ID, ID Qualifier and Product ID Qualifier. Each PA may be extended one time for 90 days. Pharmacies that have an electronic tracking system shall review prescriptions in will-call status on a daily basis and enter a reversal of prescriptions not picked up within 10 days of billing. AMOUNT ATTRIBUTED TO PRODUCT SELECTION/BRAND NON-PREFERRED FORMULARY SELECTION. Required when necessary for patient financial responsibility only billing. Required when a patient selected the brand drug and a generic form of the drug was available. Nursing facilities must furnish IV equipment for their patients. Parenteral Nutrition Products Required if this field could result in contractually agreed upon payment. 20 = 340B - Indicates that, prior to providing service, the pharmacy has determined the product being billed is purchased pursuant to rights available under Section 340B of the Public Health Act of 1992 including sub-ceiling purchases authorized by Section 340B (a) (10) and those made through the Prime Vendor Program (Section 340B(a)(8)). The resulting Patient Pay Amount (505-F5) must be greater than or equal to zero. Required when needed to provide a support telephone number. The PCF should be submitted to Magellan Rx Management agent at: Below are the completion instructions for the Colorado Pharmacy Claim Form (PCF-2) for Pharmacy Providers. Prior Authorization Request (PAR) Process, Guidelines Used by the Department for Determining PAR Criteria, Incremental Fills and/or Prescription Splitting, Lost/Stolen/Damaged/Vacation Prescriptions, Temporary COVID-19 Policy and Billing Changes, Medication Prior Authorization Deferments, EUA COVID-19 Antivirals Claim Requirements, Ordering, Prescribing or Referring (OPR) Providers, Delayed Notification to the Pharmacy of Eligibility, Instructions for Completing the Pharmacy Claim Form, Response Claim Billing/Claim Rebill Payer Sheet Template, Claim Billing/Claim Rebill Accepted/Paid (or Duplicate of Paid) Response, Claim Billing/Claim Rebill PAID (or Duplicate of PAID) Response, Claim Billing/Claim Rebill Accepted/Rejected Response, Claim Billing/Claim Rebill Rejected/Rejected Response, NCPDP Version D.0 Claim Reversal Template, Request Claim Reversal Payer Sheet Template, Response Claim Reversal Payer Sheet Template, Claim Reversal Accepted/Approved Response, Claim Reversal Accepted/Rejected Response, Claim Reversal Rejected/Rejected Response, Pharmacy Prior Authorization Policies section. A PAR must be submitted by contacting the Pharmacy Benefit Manager Support Center. Required for partial fills. For Transaction Code of "B1", in the Claim Segment, the Prescription/Service Reference Number Qualifier (455-EM) is "1" (Rx Billing). Required when Basis of Cost Determination (432-DN) is submitted on billing. Required if Additional Message Information (526-FQ) is used. FDA as "investigational" or "experimental", Dietary needs or food supplements (see Appendix P for a list), Medicare Part D drugs for Part D eligible members, including compound claims that contain a drug not listed on the dual eligible drug list. WebNCPDP standards have transformed the pharmacy industry, saving billions of dollars in health system costs while increasing patient safety and quality of care. Fields that are not used in the Claim Billing/Claim Rebill transactions and those that do not have qualified requirements (i.e. B. This pharmacy billing manual explains many of the Colorado Department of Health Care Policy & Financing's (the Department) policies regarding billing, provider responsibilities, and program benefits. %%EOF Required when Basis of Cost Determination (432-DN) is submitted on billing. OTHER PAYER - PATIENT RESPONSIBILITY AMOUNT COUNT, Required if Other Payer-Patient Responsibility Amount Qualifier (351-NP) is used, OTHER PAYER-PATIENT RESPONSIBILITY AMOUNT QUALIFER, Required if Other Payer-Patient Responsibility Amount (352-NQ) is used352-NQ. Required when needed to uniquely identify the relationship of the patient to the cardholder ID, as assigned by the other payer. If PAR is authorized, claim will pay with DAW1. 1 = Proof of eligibility unknown or unavailable. Quantity Prescribed (Field # 460-ET) for ALL DEA Schedule II prescription drugs, regardless of incremental or full-quantity fills, Quantity Intended To Be Dispensed (Field # 344-HF), Days Supply Intended To Be Dispensed (Field # 345-HG). Personal care items such as mouth wash, deodorants, talcum powder, bath powder, soap (of any kind), dentifrices, etc. If the medication has been determined to be family planning or family planning- related, it should be documented in the prescription record. Required when Patient Pay Amount (5o5-F5) includes co-pay as patient financial responsibility. Required if Patient Pay Amount (505-F5) includes coinsurance as patient financial responsibility. AMOUNT EXCEEDING PERIODIC BENEFIT MAXIMUM. "C" indicates the completion of a partial fill. Required for 340B Claims. Treatment of Human Immunodeficiency Virus (HIV) and Acquired Immune Deficiency Syndrome (AIDS). The claim may be a multi-line compound claim. Required when this field could result in different coverage, pricing, patient financial responsibility, and/or drug utilization review outcome. Pharmacies must keep records of all claim submissions, denials, and related documentation until final resolution of the claim. Required if Help Desk Phone Number (550-8F) is used. B. The following lists the segments and fields in a Claim Billing or Claim Re-bill response (Paid or Duplicate of Paid) Transaction for the NCPDP Telecommunication Standard Implementation Guide Version D.0. If the original fills for these claims have no authorized refills a new RX number is required. WebBasis of Reimbursement Determinationis an optional field that can be returnedon a paid or duplicatebilling transaction. Colorado Pharmacy supports up to 25 ingredients. The value of '20' submitted in the Submission Clarification field (NCPDP Field # 420-DK) to indicate a 340B transaction. AMOUNT EXCEEDING PERIODIC BENEFIT MAXIMUM. 513-FD: REMAINING DEDUCTIBLE AMOUNT RW: Provided for informational Required only when current repetition of Additional Message Information (526-FQ) is used, another populated repetition of Additional Message Information (526-FQ) follows it, and the text of the following message is a continuation of the current. 01 = Amount Applied to Periodic Deductible (517-FH), 02 = Amount Attributed to ProductSelection/Brand Drug (134-UK), 03 = Amount Attributed to Sales Tax(523-FN), 04 = Amount Exceeding Periodic Benefit Maximum (520-FK), 06 = Patient Pay Amount (Deductible) (505-F5), 08 = Amount Attributed to Product Selection/Non-preferred Formulary Selection(135-UM), 10 = Amount Attributed to Provider Network Selection (133-UJ), 11 = Amount Attributed to Product Selection/Brand Non-Preferred FormularySelection(136-UN), 12 = Amount Attributed to Coverage Gap (137-UP), 13 = Amount Attributed to Processor Fee (571-NZ), MA = Medication Administration - use for vaccine. Required if Basis of Cost Determination (432-DN) is submitted on billing. Restricted products by participating companies are covered as follows: The following are not benefits of the Health First Colorado program: The following are not pharmacy benefits of the Health First Colorado program: The pharmacy benefit manager provides a Pharmacy Support Center to handle clinical, technical, and member calls. 04 = Amount Exceeding Periodic Benefit Maximum (520-FK) Drug Utilization Review (DUR) information, if applicable, will appear in the message text of the response. The pharmacy must retain a record of the reversal on file in the pharmacy for audit purposes. Required for the partial fill or the completion fill of a prescription. If a member has Medicaid as their secondary insurance and their primary insurance covers a medication, but Health First Colorado requires a prior authorization for the medication, the pharmacy or provider may request a prior authorization override by contacting the Magellan Helpdesk at 1-800-424-5725. Required if Other Payer ID (340-7C) is used. Required when Other Amount Claimed Submitted Qualifier (479-H8) is used. 01 = Amount applied to periodic deductible (517-FH) Interactive claim submission must comply with Colorado D.0 Requirements. WebThese CPT codes are not used under Medicare Part B, but may be used by Medicaid, private health insurers, or Medicare Part D plan administrators in determining reimbursement for MTM services. Confirm and document in writing the disposition Members in this eligibility category may receive up to a 12-month supply ofcontraceptiveswith a $0 co-pay. 06 = Patient Pay Amount (505-F5) WebIts content included administrative items and other artifacts for Centers for Medicare & Medicaid Services (CMS) Quality Reporting Programs, State all-payer claims databases (APCDs), Children's Electronic Health Record (EHR) Format, and Agency for Healthcare Research and Quality (AHRQ) Patient Safety Common Formats, as well as standards for 513-FD: REMAINING DEDUCTIBLE AMOUNT RW: Provided for informational 639 0 obj <> endobj Required when needed to supply additional information for the utilization conflict. Some claim submission requirements include timely filing, eligibility requirements, pursuit of third-party resources, and required attachments included. For Transaction Code of "B2", in the Claim Segment, the Prescription/Service Reference Number Qualifier (455-EM) is "1" (Rx Billing). 661 0 obj <>/Filter/FlateDecode/ID[<62EB3A7657CA4643BE855C13B68E8087>]/Index[639 39]/Info 638 0 R/Length 107/Prev 799058/Root 640 0 R/Size 678/Type/XRef/W[1 3 1]>>stream Updates made throughout related to the POS implementation under Magellan Rx Management. Sent when DUR intervention is encountered during claim adjudication. Additionally, all providers entering 340B claims must be registered and active with HRSA. Indicates that the drug was purchased through the 340B Drug Pricing Program. Required only when current repetition of Additional Message Information (526-FQ) is used, another populated repetition of Additional Message Information (526-FQW) follows it, and the text of the following message is a continuation of the current. Confirm and document in writing the disposition WebNCPDP standards have transformed the pharmacy industry, saving billions of dollars in health system costs while increasing patient safety and quality of care. Pharmacies are expected to take appropriate and reasonable action to identify Colorado Medical Assistance Program eligibility in a timely manner. *Note: Code 09 is a negative amount and is not a valid option for field 351-NP. Federal regulation requires that drug manufacturers sign a national rebate agreement with the Centers for Medicare and Medicaid Services (CMS) to participate in the state Medical Assistance Program. Web Basis of Cost Determination should be submitted with the value 15 (Free product at no associated cost). Cost-sharing for members must not exceed 5% of their monthly household income. Updated Lost/Stolen/Damaged/Vacation Prescriptions section - police report is no longer required for Stolen Medications, PAR Process: Updated notification letter section, Partial Fills and/or Prescription: Updated partial fill criteria, Updated contact information on page 15, to include Magellan's helpdesk info. copenhagen long cut for sale, phasmophobia can ghost turn off camera,

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basis of reimbursement determination codes