CVS Work-Related Questions

[cakezyum]

Hello all,

I've been working at CVS for 3 months and QT is something that I'm still not well mastered. So let's say you processed a prescription and said like "next fill date 06-07-17" and there's no option for on hold or reschedule. How should I proceed from this?

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[Old Timer]

Hello all,

I've been working at CVS for 3 months and QT is something that I'm still not well mastered. So let's say you processed a prescription and said like "next fill date 06-07-17" and there's no option for on hold or reschedule. How should I proceed from this?

Well it depends. Why is it too soon> When you are typing in QT and you have finished all the data entry and you are about to input your credentials please review the profile to see if the rx was filled recently. If it was just put it on hold and link it to the present rx and then you don't get the rejection and you don't have a problem.

 

[stevephhs016]

Come across this problem too. There are times when you can't link to existing RX. Therefore I would put the date of next fill in the Sig line and go from there.

 

[cakezyum]

Thanks for your responses! I was wondering what is the correct way to send Prior Authorization? One store tells me to print and fax to the doctor and another said just hit PR and send to the insurance. I'm a bit confused with that.

 

[Old Timer]

Thanks for your responses! I was wondering what is the correct way to send Prior Authorization? One store tells me to print and fax to the doctor and another said just hit PR and send to the insurance. I'm a bit confused with that.

I personally prefer to:

• Print it out
• Call the patient
• Call or Fax the Doctor
• Put the rx on hold and add to the sig P/A required pt & md notified and the date it was done.

 

[mentos]

Thanks for your responses! I was wondering what is the correct way to send Prior Authorization? One store tells me to print and fax to the doctor and another said just hit PR and send to the insurance. I'm a bit confused with that.

Hit PR and fax to doctor. You'll have to memorize or write down the doctor fax number because once you hit PR you won't be able to see it. Another great feature of RxConnect...

 

[Old Timer]

Hit PR and fax to doctor. You'll have to memorize or write down the doctor fax number because once you hit PR you won't be able to see it. Another great feature of RxConnect...

Never do this. Never, Ever Ever

What happen is after you send this, 24 hours later it will opo up in the daily doctor calls and ask you to call the doctor again and harass the ****e out of them even though only 0.000000000000000001% of P/A's approved and then you get dinged on the doctor calls for we care. Do what I tell you,

Call the Patient
Call/Fax the Prescriber manually
Put the RX on hold

 

[Kelp103]

We always hit PR so it actually gets put in a queue and sent multiple times. Otherwise we get patients calling and complaining their doctors "never got the fax". If it's in QR, I can look and say "we sent it on 4/25 and 4/27 and called 4/28". Or whatever. I understand not wanting to mess with your score though. I guess it's store preference though, so do whatever each store wants.

Also, you aren't suppose to type in the doctor's fax number, but the fax number (or phone number) for the insurance (and if they gave you a special pa number in the notes, put that in).

 

[Old Timer]

We always hit PR so it actually gets put in a queue and sent multiple times. Otherwise we get patients calling and complaining their doctors "never got the fax". If it's in QR, I can look and say "we sent it on 4/25 and 4/27 and called 4/28". Or whatever. I understand not wanting to mess with your score though. I guess it's store preference though, so do whatever each store wants.

Also, you aren't suppose to type in the doctor's fax number, but the fax number (or phone number) for the insurance (and if they gave you a special pa number in the notes, put that in).

If you read my instructions you add that information to the sig so everybody knows when it was sent. You just make needless work for yourself. The PR system only faxes once and then it's manual calls baby.......

 

[txpharmguy]

That's archaic. At WAG, if there's an NCPDP rejection code 75 (Prior Authorization Required), the system auto faxes MD and keeps resubmitting claim for up to a week. If it's a nebulous rejection of plan limits exceeded, we just select a button select "prior authorization request", fax to doc, then just comment in queue date, time, and initials. (We manually have to retry those, but it still rejects, again, we document in queue still not going thru or something to that effect along with date, time, and initials. For refill too soon rejections, we copy and paste rts date and annotate rx image and store rx