Diagnosis Codes


Full Member
5+ Year Member
Mar 18, 2016
    Are there any states that require a diagnosis code on each prescription, including non-controls. What is everyones opinion on whether a pharmacist can deny a prescription, say for hydroxychloroquine, if request for diagnosis is refused by prescriber?
    • Like
    Reactions: 1 user


    Uncontrollable Sarcasm Machine
    Staff member
    Volunteer Staff
    10+ Year Member
    Verified Expert
    Gold Member
    Mar 19, 2009
    Locked in the basement
    1. Pharmacist
      How do you do a DUR without a diagnosis? You can’t. The question should be why do we ever fill a script without one.

      We 100% have the right to refuse to fill a prescription if the prescriber won’t provide a diagnosis. I would go a step further and say we have a duty to do so in the case of hydroxychloroquine.
      • Like
      Reactions: 3 users


      Full Member
      5+ Year Member
      Dec 8, 2015
        a lot of eRx's have the diagnosis on the 2nd or 3rd page of the eRx (at least at Walgreens). try taking a look there for diagnosis if you feel so inclined. Getting a diagnosis on every rx is unrealistic in retail. I'd get one if something just seems very suspicious/out of the ordinary
        About the Ads

        Dred Pirate

        Full Member
        7+ Year Member
        Jan 18, 2014
        1. Pharmacist
          back when I worked in Illinois the 90 day refill thing was just starting in retail pharmacy (mid 2000's). Per insurance requirements we had to have the diagnosis written down on the hard copy. I had one physician who often would write outside of his specialty (not wanting to rehash the scope of practice debate) - and I honestly can't remember specifics, but it was like pulling teeth to get him to actually tell me a diagnosis. His RN even went so far as saying they couldn't give it to me because of HIPAA. So I printed out a copy of the HIPAA rules and faxed it to him.
          • Like
          Reactions: 1 users
          About the Ads
          This thread is more than 1 year old.

          Your message may be considered spam for the following reasons:

          1. Your new thread title is very short, and likely is unhelpful.
          2. Your reply is very short and likely does not add anything to the thread.
          3. Your reply is very long and likely does not add anything to the thread.
          4. It is very likely that it does not need any further discussion and thus bumping it serves no purpose.
          5. Your message is mostly quotes or spoilers.
          6. Your reply has occurred very quickly after a previous reply and likely does not add anything to the thread.
          7. This thread is locked.