short cut for WAlgreens computer system

[stavudine]

do you guys know any time saving tips for computer system? Also any tips for newly graduated floater in walgreens? thanks

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[TexasSuxs]

do you guys know any time saving tips for computer system? Also any tips for newly graduated floater in walgreens? thanks

Find another job fast.....

 

[GatorRxGirl]

The system is pretty straightforward. They explain everything in the DVD training things.

 

[TexasSuxs]

The system is pretty straightforward. They explain everything in the DVD training things.

The Zelda training......

 

[hcp]

Using the mouse will slow you down. Use your ALT... Be nice to your techs and they will show you other shortcuts.

Good luck!

 

[GatorRxGirl]

Zelda got fired. A manager from a store up north recognized her from an "adult" film. Apparently Walgreens wasn't happy with a porn star doing all the training, so Zelda is no more.

True story.

 

[Fenderplayer108]

Considering I have been working in a 900+ store full time for a month or so, here are a few..

Typing:
Always start each sig with +, that means (take 1 tablet by mouth)

Some codes that are fun to use are:
app - apply
int - instill
ien - in each nostril
tat - until all taken

Verifying:
The enter and the tab key are your best friend here, don't use the mouse. On an average 8 hour shift, I F4 about 425 times, I don't know what I would do without those keys.

Voicemail:
The cool thing about our voicemail is you can use the #4 key to rewind the call by about 3 seconds, and the #6 key to fast foward about 3 seconds. Good for if you need a quick replay, without listening to the whole thing.

Techs:
Make sure each tech knows where they are supposed to be, and what they are supposed to be doing. Any time they have to look at each other when a car pulls up, or customer comes to the counter, you need to tell them, "Bob, can I borrow you at the counter please?". You have to keep work flow going.

Remote Verification:
Do it! When you have a few moments of downtime, verify for another store, this will improve your numbers, and will allow you to get to the rx's that are put in at a later time at your store, for when you get some time to possibly print ahead.

Flow-Ometer:
Thats the little thing on the top, that says F1: X, F4:X, TPR:X, ect.. I never let our F1's get much higher then 10, someone needs to be typing, and I rarely let the F4's go over 10 either.

Belt:
Make sure the techs are putting the totes on the belt in the right time order! Nothing makes me madder then being very busy, and getting a tote to verify that is for 10am the next morning, when there are 5x totes that are behind it for the next hour.

Insurance:
Easy, lookup the plan in third party inq. You can search for the Bin and the PCN to verify the plan id, then it will tell you all the parameters for the plan, ie: person code, link, p/a numbers, ect.

Here are some tips on a few plans:
Medco, UHCP, All PAID plans in the wag's system, paid requires a +3 person code, such as 001, 002, or 003.
Express scripts, can go as either Perx, or ESI, and they require +2 person code, 01,02,03,04

Ask your techs for help, don't let the stress overwhelm you, and you can always look in store net for more IC+ tips.

 

[monsterbrain]

My favorite shortcut is using "+" in the directions field. It will automatically type in "take one tablet/capsule by mouth." Learn all the directions (sig) shortcuts!

 

[stavudine]

thanks you guys. that was very helpful

 

[monsterbrain]

Techs:
Make sure each tech knows where they are supposed to be, and what they are supposed to be doing. Any time they have to look at each other when a car pulls up, or customer comes to the counter, you need to tell them, "Bob, can I borrow you at the counter please?". You have to keep work flow going.

Belt:
Make sure the techs are putting the totes on the belt in the right time order! Nothing makes me madder then being very busy, and getting a tote to verify that is for 10am the next morning, when there are 5x totes that are behind it for the next hour.

on your recommendations! I wish the pharmacists at our store (600+ rx) would tell the techs where to go. Most of them seem to think they don't need to wait on customers anymore because they are senior techs, pharmacy students, or have seniority over other techs. Our store does not follow the workflow plan so I end up working the out counter and the drive thru while begging at least one of the six techs at the filling station to please help me (but that's a whole 'nother story).

Whenever I do get to fill, which is not very often, I will put the labels in time order because it just seems logical to me. However, these "fabulous" techs noted above tell me not to worry about it.

Can I come work at your store?

 

[GatorRxGirl]

Those are some great tips. The shorthand keys are great. + , +2 are so much shorter.

 

[Rfour]

Learn the speed codes for drugs if you type:

350 - Tyl 3
573 - vicodin
067 - Darv N 100
262 - Phen w/ cod
630 - Amox 250/5 150ml
101 - Amitrip 10
154 - Ceph 500 (i think) or its 354

There's many more that I can't recall right now.

Also to add to the voice mail comment press "5" to pause and again to unpause.

 

[bonvox]

What is the deal with SDL's?

Can you just use them any time insurance is down?

Or if all the ID numbers are entered correctly and its still not working, and not giving any specific reason for rejection?

I've heard that at night Medicaid doesn't even process prescriptions... so if its an emergency and you're the overnight pharmacist, can you just SDL it to get the patient out of there?

 

[Pharmer_Andy]

What is the deal with SDL's?

Can you just use them any time insurance is down?

Or if all the ID numbers are entered correctly and its still not working, and not giving any specific reason for rejection?

I've heard that at night Medicaid doesn't even process prescriptions... so if its an emergency and you're the overnight pharmacist, can you just SDL it to get the patient out of there?

SDL is mostly for Coordination of Benefits (COB) billing. Usually for dual insurances or for coupons that deduct from the patients copay. If you are billing an insurance and it is not working doing an SDL will not solve the problem.

 

[bonvox]

Wow this thread is really helpful.

Could anyone give a quick lesson on tricks associated with "Third Part Authorization..."? There's a lot of choices on this menu, but all I've ever done so far is PA 9998... and no one's ever specifically told me what that even does. It just makes some rejects go through somehow.

 

[Pharmer_Andy]

Wow this thread is really helpful.

Could anyone give a quick lesson on tricks associated with "Third Part Authorization..."? There's a lot of choices on this menu, but all I've ever done so far is PA 9998... and no one's ever specifically told me what that even does. It just makes some rejects go through somehow.

There is not much to do as a tech in the thrid party screen. As a pharmacist you can go there to do some DUR overrides. The most common use for me in the third party screen is through paid (medco, united health care). They sometimes give a "plan limits exceeded" rejection and you can go to third party screen and select the "override" drop screen then option 02 for "other override". We also use it periodically use it to bill for the administration fee charged for the Zostivax vaccine.

 

[txpharmguy]

VM: #2 (pound two, any time during the message) if you have a motor mouth and can't write quickly enough (replays msg from beginning)

Compounds: Lidocaine/Benadryl/Maalox 1:1:1 is autopopulated. Select compound, ingredient: lidocaine, dosage form: suspension and search. Usually the second choice down.

Sigs ½ (alt 171) ¼ (alt 172) ¾ (alt 0190)

Workflow: stay on top of DURs as well. Version 50 creates a lot of phantom DURs.

Data review: you can also just hit the numbers 1, 2, 3 then enter (instead of hitting "enter" four times). Works real fast if you can train your right hand to do this on number keyboard. (That is assuming all data entry is correct!!).

Prior Auth Codes: I wouldn't blindly override those. They're put in place for a reason (usually by WAG). Examples would be a Handwritten "Brand Necessary" or high dollar rx for medicaid. Look-alike sound alike (LASA) drugs (PA Code 6661), Tamper Resistant rxs, etc

If you ever get the dreaded WAG reject of don't submit to a non-registered MD (I can't think of the exact wording, but you know the dreaded reject when you see it). Try one of three things: enter either the DEA, state license, or NPI number in the Alternate Prescriber ID field under Third Party Auth Screen (be sure to include the appropriate modifier too (another field just below the Alternate Prescriber ID field). IF that doesn't correct it, call Third Party at 217-554-8878

 

[stavudine]

keep going guys. Thanks for tips.

 

[McZyprexalynn]

The others have covered a lot, but I'll add somemore:

QUICK CODES:
I made up cards for my techs last summer, and I think these are all of them. Definitely worth remembering because they save a lot of time and prevent typos.
Take 1 tablet/capsule by mouth +
Apply topically to the affected area +
Unwrap and apply 1 patch to +
Unwrap and insert 1 suppository +
After a meal PC
Apply APP
Apply sparingly with each diaper change ASD
Apply to rash APR
As directed UTD
As needed PRN
As needed for PRF
As needed for anxiety PRA
At bedtime HS
At night ATN
Before a meal AC
Both ears AU
Both eyes OU
By mouth PO
Chew and swallow CSW
Contents of 1 packet CNTS
Daily D
Diarrhea DH
Discard remainder DR
Drop GTT
Drops GTS
Every day QD
Every evening QPM
Every morning QAM
Every night at bedtime QHS
Every other day QOD
Externally EXT
Five times daily FID
Follow package directions FPD
For cough COU
For cough and congestion CNC
For nausea and vomiting NV
For pain P
Four times daily QID
Give G
Headache HA
Hours H
Immediately IMM
In each nostril IEN
In the affected ear(s) AEA
In the affected eye(s) AEY
In the left ear (AS) LEA
In the left eye (OS) LEY
In the right ear (AD) REA
In the right eye (OD) REY
In the vagina VAG
Inhale INL
Inhale _ puffs every _ hours INH,#,#
Insert 1 applicatorful vaginally at bedtime IVB
Insert 1 suppository vaginally at bedtime IVS
Instill INT
Nausea N
On an empty stomach OES
One-half SS
Patch PA
Puffs PFS
Rectally REC
Shake well SW
Shake well and refrigerate SWR
Shortness of breath SOB
Sleep SLP
Small SML
Spray SPR
Suppository SUP
Suppositories SPS
Swish and swallow SAS
Tablespoonful TLS
Tablet or Capsule T or C
Tablets or Capsules TS or CS
Take _ tablets every _ hours TBS,#,#
Take 1 tablet every __ hours TAB,#
Take 4 capsules 1 hour before dental appointment DNC
Take or Give TK
Teaspoonful TEA
Teaspoonsful TES
Three times daily TID
Times daily XD
To the affected area AA
Today TAY
Under the tongue UNT
Until all taken/Until gone TAT
Unwrap UNR
Use U
Weeks WKS
While awake WA
With food WF
With meals WC
½ ALT+171
¼ ALT+172
¾ ALT+0190

The first three letters of the drug + the strength (ex. Zpak is ZIT250) will bring up the drug about 75% of the time. They've taken out a lot of them though because of errors. MET500 is gone because it brought up both Metformin 500mg and Metronidazole 500mg and mistakes were made.

Shift & CTRL
Shift allows you to select items in a series on a list and CTRL lets you select different items on a list. If you're putting in refills for a patient and they're rattling off a list of drug names, hold down the CTRL key and click on each drug in the profile. Then click on fill and they'll all end up on the refill center screen. You can do the same thing to find out a total in the work que. Hold down SHIFT and click on the top and bottom in the series of scripts you want a total on. Then hit ALT+T.

The Third Party Rejects screen:
If you get the plan limits exceeded reject from PAID, it will almost always go through if you pick 2 from the other override drop down. PAID will also let you use those codes for other overrides - you usually don't have to call to get a vacation or dose increase override, just pick the right one from the drop down.
Some insurance companies will let a dose increase go through if you pick 1 in the first drop down menu (Prior Authorization) and then put in 98798798798. If you go to the Third Party Plans menu, type in your plan code, hit Parameters on the bottom left, it will often tell you if you can use something that rather than calling the help desk for an override.
If you get that reject on the left side of the screen that says something about RxSA that's coming from WAG's system, not the insurances. Depending on the reject, you use Prior Authorization and either 9998 or 666. 666 usually works for me.
To override a DUR reject from the insurance company for a drug interaction, click on the DUR button on the bottom left of the screen (I think it's the 3rd or 4th one in). Leave the first box as is, tab to the second and pick M0 - Pharmacist Reviewed, and then 1B - Filled Prescription as Is in the 3rd. It usually goes through.
Most of the options on that Third Party screen are never used. We use some of them for specific Medicaid claims, but that would be state specific.

If it times out when you submit it normally, it will time out if you try to submit it as an SDL. Usually a time out means that the insurance company's computers are down, though sometimes it's WAG's computers. If you get a time out after rebilling a RX, delete it (to stored) and start over. There's some kind of glitch in the system there and it will usually go through if you start over.

Voice Mail:
Be careful with the Voice Mail reverse and fast forward. If you use them too much, it will delete your message. # Takes you to the end of the message which is helpful if you accidentally hit repeat or if what you needed to listen to again was at the beginning of the message.

Filling:
Try to keep the labels stacked on the counter in order of pick up time. If you pick a stack up off the printer and flip them over so the inside of the leaflet is facing up, they'll generally be in pretty chronological order. Just sift through for the waiters and pick up times that are sooner than the last the que has dumped. The pick up time will show nicely on the bottom left corner and you can easily keep them in order. If you start filling at random at a busy store, there's a good chance you'll get behind and scripts won't be ready when the patient picks them up. Put all of your leaflets in the front of the tote with front facing out and up. If you have them in there that way, you can easily see the patient's last name when they're sitting on the belt and it's easy to find the tote you need. (It drives me nutters when people don't do this!)

Store Net:
When you have some down time, surf around on StoreNet, particularly under RxOps and RxAdmin. There's a ton of stuff on there. If there's something you need to know, try using the search feature. It's usually pretty good.

Savings Club:
My district is pushing this program big time. It's still more expensive that Walmart and the $4 places, but there are some good deals to be had.
If the pt doesn't have insurance that covers birth control, Trinessa and Mononessa are $30 something for 3 months on the SC (compared to $29.99 for one month otherwise). There's also decent savings on NuvaRing, but most other BC are barely covered.
Generic Lamisil is covered at $12/90 tablets. This makes it not worth bothering with the PA a lot of times.
It can save people a fair amount on drugs that are often not covered by insurance - Clomid, Viagra/Cialis/Levitra, PPIs, (but not Propecia)
If the patient has a $10 copay for a drug that's on the $12/90 days list, the savings works out to $52 a year for one drug and $72 for each additional drug. If they pay $15, the savings is $112 for one drug and $132 for each additional drug (assuming they sign up for the individual coverage). Patients who are happy with Walgreens and wouldn't go to Walmart (or don't know about Walmart's $4) are often tickled if you tell them about this.

Yikes. That got long.

 

[stavudine]

thank you very very much. It is really helpful

 

[medicament]

Wow. This thread is SO helpful. I am fairly new at Walgreen's and I got the "Plan limits exceeded" reject from PAID the other day. We were really busy and the patient ended up paying cash for her prescriptions. Afterwards, one of the senior techs said, "Oh, you could have just gone to the Third Party Screen - Override - Option 2". Huh!? How are we supposed to know these random things?

What exactly does that rejection mean anyway, if we can just override it in our system?

Thanks for all the tips. I've printed them all out and I'm going to remember these for sure.

 

[MindOverMatter]

I need to start coming to this forum more often. You guys rock!

 

[McZyprexalynn]

Wow. This thread is SO helpful. I am fairly new at Walgreen's and I got the "Plan limits exceeded" reject from PAID the other day. We were really busy and the patient ended up paying cash for her prescriptions. Afterwards, one of the senior techs said, "Oh, you could have just gone to the Third Party Screen - Override - Option 2". Huh!? How are we supposed to know these random things?

What exactly does that rejection mean anyway, if we can just override it in our system?

There are a ton of random things to know, especially when it comes to insurance companies. A tech who has been around for a while is your best resource there.

You usually get the plan limits exceeded reject when a prescription is written for a higher amount per day than is FDA approved or even if it's just on the upper end of the limits. Paid is nice in that they'll allow the pharmacy to evaluate the claim and override it with the 2 if it's correct. Sometimes you have to get a prior authorization or call for an override with other insurance companies. Sometimes you get the plan limits exceeded reject for refill too soon rejects too. I really wish they'd standardize rejects a little more.

 

[pillpharmer]

The FindMPD program has been a godsend to me. You can look up a patient's Medicare Part D program because usually they think that little red and blue card for their part A and B is their D plan.

In the 3rd party screen, type FINDMPD in the plan field. Recipient ID you can either type in the social security number of the patient or type GET MEDICARE. For the group number type FIND MPD. Update the particular RX and run the insurance as FINDMPD...the rejection should bring up the bin number, pcn number, recipient ID number, and group number. You can just do a print screen from there to make data entry easier.

You can also find their part A and B with FINDMPAB usuing the same codes.

If a person is a Medicare part D and Medicaid recipient, always put the part D insurance as the primary, then put in the the Medicaid. Make sure when the Medicaid is done, to put a Y in the COB (coordination of benefits) box. Run the rx under MedPartD and sometimes it will say "Bill Different Primary/Processer" then you just Cash out the Rx and it should give the correct amount.

If you get a Plan limits exceed rejection, check to see if the insurance will only pay for a 30 days supply, then change the quantity dispensed to reflect a 30 day supply.

There are shortcuts like others have mentioned before. For example Motrin 800mg you can type in as Mot800 and it should bring it up. To look up what these codes are: go to Drug Information tab (I think it's F10 on the keyboard) type in the drug name you want, then ALT D to go to the drug information screen that shows NDC, WIC, and UPN numbers. There should be a box on the bottom left hand side of the screen showing the shortcut if there is one.

If you're trying to bill the insurance and it times out because the company is down, you have a few options. You can cash out the rx and have the pt pay for it then come back later and update the rx after it is sold to correctly bill then refund the patient. You can look up on their profile to make sure that the copay is the one they've been using before and just scan the timed out rx. Or, you can call the insurance company to verify that they are sending the correct copay. I've been told repeatedly not to sell timed out rxes unless you verify the copay because sometimes the information is incorrect and your pharmacy losses money because of it.

Does anyone know how to use sig codes to type the rx directions in another language? I know it can be done and it would help out a lot for my Hispanic patients.

 

[bonvox]

To get labels in another language:

Just go to the Patient Info screen and on the right there is a drop-down menu with languages. Click the language you need, and all leaflets and labels for that patient will subsequently print in that language... if (and only if) you type the sig using short codes.

The back of the leaflet will still print in English, so you can verify everything is correct.

 

[Ray1234]

hello everyone,

This thread rocks!!

Can anyone explain me COB (combination of benefits)? All i know is .. primary insurance covers a drug and you will get a copay... while the sec. insurance will cover entire or a portion of copay.
A person having two insurances (one from his work and other from his wife's work) might not get the same benefits like COB... i asked few techs at work.. but they did not give me a good answer... and i hope to find the answer here...

Thank you in advance.

 

[stavudine]

hey guys. please keep going with this thread. I also need help with COB. can anyone help please? thanks

 

[ravingrabbid]

hello everyone,

Can anyone explain me COB (combination of benefits)? All i know is .. primary insurance covers a drug and you will get a copay... while the sec. insurance will cover entire or a portion of copay.
A person having two insurances (one from his work and other from his wife's work) might not get the same benefits like COB... i asked few techs at work.. but they did not give me a good answer... and i hope to find the answer here...

COB is typically used when the pt may get a lot of drugs but cannot afford to keep paying for the copay every time. For example, in San Francisco, many of the HIV pts get a primary insurance and a secondary insurance that covers the copay - to use the 2nd insurance, the COB needs to be "turned on" in the pt's profile (under the insurance tab, COB will no longer be blanked out so you can change it to "Y")

As for your second question, the guy that gets 2 insurances (1 from work, 2nd from wife) there is no way to do COB (unless the option is available in the pt profile). Basically for this guy, just bill the ins. with the cheaper copay

The second type of COB that can be used is if the pt has a primary insurance and a coupon. In that case, you would bill the primary and then SDL the copay to the coupon - some coupons require that you type in the COB kind into the pt info (but the COB option will still be blanked out, that's why you SDL it) Hope that clears things up or not

 

[Ray1234]

COB is typically used when the pt may get a lot of drugs but cannot afford to keep paying for the copay every time. For example, in San Francisco, many of the HIV pts get a primary insurance and a secondary insurance that covers the copay - to use the 2nd insurance, the COB needs to be "turned on" in the pt's profile (under the insurance tab, COB will no longer be blanked out so you can change it to "Y")

As for your second question, the guy that gets 2 insurances (1 from work, 2nd from wife) there is no way to do COB (unless the option is available in the pt profile). Basically for this guy, just bill the ins. with the cheaper copay

The second type of COB that can be used is if the pt has a primary insurance and a coupon. In that case, you would bill the primary and then SDL the copay to the coupon - some coupons require that you type in the COB kind into the pt info (but the COB option will still be blanked out, that's why you SDL it) Hope that clears things up or not

Ravi... and everyone contributing to this thead!!

thank you very much. I have seen ppl with medicare part D and also medicaid to cover the copay.. and as you mentioned above .. this guy was also in so many medications .. which makes sense now.

one more question here.. somebody who has both medicare part D and medicaid.. in that case can we bill MPD as primary and bill medicaid as secondary? if yes then do we have to enter the insurance data the way we do with medicare and medicaid and put Y on COB.

in what cases do we do SDL? besides billing some coupons as COB.. ?

Thank you.

 

[ravingrabbid]

one more question here.. somebody who has both medicare part D and medicaid.. in that case can we bill MPD as primary and bill medicaid as secondary? if yes then do we have to enter the insurance data the way we do with medicare and medicaid and put Y on COB.

in what cases do we do SDL? besides billing some coupons as COB.. ?

I'm not sure what the process is in other states but in CA - you cannot bill MPD as primary and Medi-Cal (Medicaid in CA) as the secondary. The pt actually has to go to the Medi-Cal office themself to get the COB (meaning it would be automatically sent once you bill the primary) - so you wouldn't have to worry about turning it on or not since the option isn't available.

Also, (sorry if it's irrelevant to your state) you can only bill Medicaid if it is not covered under the MPD Law (it'll show up as a rejection if you try to bill MPD).

For your second question, er, I haven't actually encountered any other instances besides coupons for the SDL option or when I got an override approval from the secondary insurance (I actually could've turned on the COB option in the pt profile but I forgot to )and did the SDL manually.

Hope that answers your question.

 

[McZyprexalynn]

In my state, the main thing we use COB for is patients who have both private insurance and Medicaid. Their Medicaid is structured that it only covers copays, not the full cost of the drug. Oh, and some patients have Tricare as a secondary and you can bill it as a COB, but you have to change the plan ID from TRI78 to TRISEC (I think it's TRISEC, I haven't done one of these for a long time).

I thought this was nationwide, since Medicare is, but perhaps it does vary by state. Here, you cannot bill both Medicare and Medicaid. If a patient is dual elligible, you bill Medicare. Medicaid only covers benzos and cough meds (since those are not legally required to be covered by a Part D plan).

SDL is primarily used for coupons. I don't know why they don't make them so you can use the COB option also, but whatever. SDL is occasionally used here for patients when Medicaid says that a patient has primary insurance (but they actually don't or haven't told Medicaid that they lost coverage) or if the primary rejects the drug (for example, Medicaid here covers OTC Prilosec and Claritin but no other PPI or non-sedating antihistamine withoug prior auth but most private insurance does not cover OTC meds). For some reason, that "Bill Secondary" button never works right, so you have to cash it out and SDL medicaid.

Only certain plans are COB elligble. If they are, you'll have the option to change the N to a Y in the COB field. If not, it remains gray. People who have two private insurances are not typically COB elligble.

 

[Ray1234]

In my state, the main thing we use COB for is patients who have both private insurance and Medicaid. Their Medicaid is structured that it only covers copays, not the full cost of the drug. Oh, and some patients have Tricare as a secondary and you can bill it as a COB, but you have to change the plan ID from TRI78 to TRISEC (I think it's TRISEC, I haven't done one of these for a long time).

I thought this was nationwide, since Medicare is, but perhaps it does vary by state. Here, you cannot bill both Medicare and Medicaid. If a patient is dual elligible, you bill Medicare. Medicaid only covers benzos and cough meds (since those are not legally required to be covered by a Part D plan).

SDL is primarily used for coupons. I don't know why they don't make them so you can use the COB option also, but whatever. SDL is occasionally used here for patients when Medicaid says that a patient has primary insurance (but they actually don't or haven't told Medicaid that they lost coverage) or if the primary rejects the drug (for example, Medicaid here covers OTC Prilosec and Claritin but no other PPI or non-sedating antihistamine withoug prior auth but most private insurance does not cover OTC meds). For some reason, that "Bill Secondary" button never works right, so you have to cash it out and SDL medicaid.

Only certain plans are COB elligble. If they are, you'll have the option to change the N to a Y in the COB field. If not, it remains gray. People who have two private insurances are not typically COB elligble.

Thank you guys.. really appreciate your works. Looks like every state has different ways to bill insurances when it comes to COB..

To add on another questions on what McZyprexa... has said, I had encounter the case when once insurance said.. drug not covered and other insurance said .. primary insurance needs to be billed first. I turned to pharmacist.. and he mentioned that we can not do it.. so i told pt that ur pri insurance doesnt cover the drug.. and ur secondary insurance only pays the co-pay.. and cannot be billed without if your primary insurance does not cover that particular drug..
Looks like there is a way to fix it... through SDL.. McZypr.. how do you do SDL to second insurance in that case.. Please give me an example with planID .. thank you very much in advance guys!!!

 

[WAGSandBARKS]

These are really great tips! Our store (Austin, TX) is sooooo busy all of the time -- I wish I had time to search the IC+ tips in StoreNet but no go--so, therefore, please keep the tips coming on this forum when I can actually mentally process them and make notes in my notebook. ESPECIALLY step by step tips on how to knock out all the various exceptions out of the queue and more insurance tricks. (yes I know these things were covered in the training DVDs, but come on, who learns that way??)
Thanks again for caring enough to share!!!!!!!!

 

[stavudine]

thanks guys. Keep posting insurance tips!!!! I have couple questions regarding DURs.? What kind of DURs you guys usually override or not? example will help. Thanks

 

[pharmacygaint]

Hi guys, I am new to this site.This site looks great. I am a pharmacy student graduating in 2years. I have worked for CVS last summer, but they gave me really hard time, and finally got me out. I am really hardworking and willing to learn everything about their system. I got some basic training on CDs, and no body was willing to teach me. Mostly i had a hard time with insurance and typing sigs, because when i type a complete sig, it gives me something else. For ex, for a pediatric patient, if i type in "Give" and then the remaining sig, it gave me both"Give and Take". After just working for eight-6hr shifts per week (including the training) the Rx manager told me that I wasn't progressing the way they expected to.

Now I am trying get into Walgreens, which i heard has a good system. Can antone please tell me what kind of computer training do they provide for the new interns. I would appreciate any help.Thanks.

 

[pharmacygaint]

Hi guys, I am new to this site.This site looks great. I am a pharmacy student graduating in 2years. I have worked for CVS last summer, but they gave me really hard time, and finally got me out. I am really hardworking and willing to learn everything about their system. I got some basic training on CDs, and no body was willing to teach me. Mostly i had a hard time with insurance and typing sigs, because when i type a complete sig, it gives me something else. For ex, for a pediatric patient, if i type in "Give" and then the remaining sig, it gave me both"Give and Take". After just working for eight-6hr shifts per week (including the training) the Rx manager told me that I wasn't progressing the way they expected to.

Now I am trying get into Walgreens, which i heard has a good system. Can antone please tell me what kind of computer training do they provide for the new interns. I would appreciate any help.Thanks.

 

[afablej]

Hey guys this thread is awesome by the way...

Heres another question..when you update a held rx and you decide to delete it back to stored/put it back on hold... is there a faster way to do this besides getting it verified, printed, overridden/filled, verified again by rph, and then deleting it to stored?

I used to be able to create an exception through the insurance, and then it would allow to me to Options --> Save it back to Held. But I think that trick doesn't work anymore and it's been driving me nuts!

 

[McZyprexalynn]

Hey guys this thread is awesome by the way...

Heres another question..when you update a held rx and you decide to delete it back to stored/put it back on hold... is there a faster way to do this besides getting it verified, printed, overridden/filled, verified again by rph, and then deleting it to stored?

I used to be able to create an exception through the insurance, and then it would allow to me to Options --> Save it back to Held. But I think that trick doesn't work anymore and it's been driving me nuts!

Not that I'm aware of. As far as I know, that Options -> Save thing has only ever worked on a new RX, not one that has been created from a Held or Stored RX. You don't necessarily have to fill it again. If you have a robot or cells, go to Options -> Fill Preferences, there is a box that says "Send to Automated Filling" or something like that - uncheck that and it won't count out.

 

[MindOverMatter]

Hey guys this thread is awesome by the way...

Heres another question..when you update a held rx and you decide to delete it back to stored/put it back on hold... is there a faster way to do this besides getting it verified, printed, overridden/filled, verified again by rph, and then deleting it to stored?

I used to be able to create an exception through the insurance, and then it would allow to me to Options --> Save it back to Held. But I think that trick doesn't work anymore and it's been driving me nuts!

Not that I'm aware of either. But why would you need to do this? I don't see this as being too common of a situation, unless it was put on hold because it was too expensive and then the patient forgot about the price and wanted to fill it again (until of course he saw the price). But as far as I know you have to have the pharmacist delete it to stored.

 

[dgroulx]

Now I am trying get into Walgreens, which i heard has a good system. Can antone please tell me what kind of computer training do they provide for the new interns. I would appreciate any help.Thanks.

they will put you into a room with a computer and make you do the training CD. When there's an update, you'll do Peoples Plus learning online. Try to take notes and get the hang of it. It's pretty easy, though.

 

[afablej]

most of the time i encounter it when insurance isnt covering it for whatever reason (PA, RTS, etc) and the tech/intern/or me puts it on hold/stored (some like to do this instead of leaving it as a TPR). Then, the next person doesnt know whats going on with it (usually me, haha) so i run it through to see the rejection. if the case is that i can't fill it/pt doesnt want it, then i put it back on hold/stored.

A good example is when you enter a new Rx and you find out the pt just got it and its RTS so you put it on Hold. i just wish there was a way to do it without going through the rph.

Here's another one...If someone comes back to the pharmacy and tells you their rx was filled wrong. (for example, the wrong doctor was entered, and they want to fix that in case they need to fax for more refills). How do you go about and fix this? Delete to stored and re-enter correctly, then override it out and price modify to Zero?? haha that was just a guess =)

 

[htownzsos]

ive skimmed through this forum and it really looks helpful, Ive started working at walgreens pharmacy as a tech just recently less than a month ago and am working a little cheat sheet that i type up the info i may need to rmr or will be helpful if the times comes such as insurance id's used most often at our pharmacy and basic procedures at the end of the day. I would appreciate if someone can answer the several questions i have posted below.

TPR's third party rejects
obviously so there could be many reasons why there would be a tpr, but i wanted to know what are the common ones and how are they processed ( the ones that usually come up are (pa required, and limit supply of 30) what are some more common ones or ones that i should be aware of??? and a step by step procedure to solving things tpr's will be really be helpful.

SDL's
i know the first thing to ask is if the card was activated. then put it in the pts information in ic+, then save it. So what are the steps after that?( i know at one point you need to click on the sdl tab when pulling down the application tab in ic+,) what is the next procedure from the point you save the info in the patients profile to completing the transaction?? Step by step instructions will be helpful.

refills
how are refills processed when you go to the profile bring up the info on the prescription and hit refill but the info which usually says (ok, or possible refill to soon) says RX Closed. How is this procedure processed??


Any other procedures or things that i should keep in mind, please go ahead and post it here, I really appreciate everyone who is contributing to the posts. the pharmacy i work at is usually busy and what usually happens is that in the process of showing me the procedures the pharmacist or other tech may just tell me to help the next customer out. and so i really dont get how to take care of it, next time it occurs. and this is usually the case when its a weekend and a number of people all at one time come for pick up/drop offs during the day and the pharmacy is short staffed.

 

[owlegrad]

Any other procedures or things that i should keep in mind, please go ahead and post it here, I really appreciate everyone who is contributing to the posts. the pharmacy i work at is usually busy and what usually happens is that in the process of showing me the procedures the pharmacist or other tech may just tell me to help the next customer out. and so i really dont get how to take care of it, next time it occurs. and this is usually the case when its a weekend and a number of people all at one time come for pick up/drop offs during the day and the pharmacy is short staffed.

That is a serious issue/trap that all too many pharmacies fall into. I haven't worked at Walgreens so I can't help you with any technicals but here is some general advice:

Keep a pocket notebook with notes for everything that anyone ever shows you how to do. Respect their time and never ask to be shown the same thing twice. Mine is a disorganized mess, but it is all in their.

Do y'all have district trainers? Use them, that's what they are there for.

Your store should have a job aid/sop/help manual/what ever you want to call it. Everything you should need from a technical perspective should be in their.

Insurance. I still have to call the help desk for virtually every rejection. The "common" ones that I do not call for are: refill too soon, Prior Auth Req, coverage terminated/coverage not active/invalid account/any message that I interpret to mean that the customer does not have insurance anymore. In almost every other case that I can think of right now the reject message is too vague/nonsensical to be of any help. Call the toll-free number, your call is important to them, as evidenced by the fact that they make you call for every stupid rejection rather than have the system return a reject message that makes any sense.

Good Luck!

 

[NormalSaline]

350 is the code for tylenol 3
573 (or 537?) is vicodin 5/500
067 used to be D-N-100

 

[222pharmD]

Hey everyone, I've been working as a tech at Walgreen's for about 5 years and have some info on Medicaid of California (medi-cal)
Under plan ID, type in CAMED
Recipient # is all the numbers on the white plastic card (also has a letter in it near the end) as well as the issue date on the bottom right corner.
Make sure you enter the issue date in this order YYMMDD after you enter the recipient ID.

If patient says they cant find their medical card, there is still a way to look it up. Call 1-800-456-2387. This is an automated calling system that will tell you the patients medical ID and issue date. You will need a PIN # from your store, then it'll ask for the patients social security # and DOB. After that, it'll give you all their insurance information about medical.

Also, when billing medi-cal, sometimes a rejection message pops up saying "H190, H130", ect. This means they are NOT straight medical patients but have another insurance linked with their medi-cal and you will have to bill this "other" insurance for the medications. Here are the codes and the insurances that are for those codes.

H130 --> Molina (MOLIN)
Use CAMED ID up to the letter, then add 01

H140 --> Western Health Adv. (PAID, i believe)
Use CAMED ID up to the letter, then add 001
(I've also heard use social sec # and add 001, but I like the one above)

H150 --> Health Net (HNET)
Use CAMED ID up to letter, then add 01

H170 --> Kaiser
(Walgreen's does NOT accept kaiser insurance)

H190 --> Blue Cross (BCCAL)
Use CAMED ID and stop at the letter.

 

[htownzsos]

any one know how to take care of refills that say CLOSED RX????

 

[Rebel78]

any one know how to take care of refills that say CLOSED RX????

The directions above are correct, but don't reopen a script unless you are sure, let your pharmacist look at it if your not sure.

 

[htownzsos]

What does it mean when after I get a script the third party reject message shows DUR and how am i suppose to take care of this issue

 

[222pharmD]

What does it mean when after I get a script the third party reject message shows DUR and how am i suppose to take care of this issue

I was told when it's a minor issue, just click DUR button, on the 2nd scroll option select R0 (pharmacist reviewed) and 3rd scrolling option select 1B (Fill prescription as is). That should do the trick. However, when it has "Major Interaction" in RED, make sure if your a tech to have the pharmacist take a look at it just in case.

 

[htownzsos]

So I know there is a place in store net that can give me a way to find nearby Walgreen Locations from the store i work at, can anyone tell where i would find this link and which tab is it under in store net??? I just hate when patients ask if another walgreens would have that medications when they know there are like 10 ppl behind them and the drive thru is backed up, and I know everyone is working and Im sure they dont rmr it off the top of their head either.