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dispensing more than written quanity
Started by vtpharm11
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I think you'd have to bill and process it as 3 fills of 30, not 1 fill of 90 due to insurance.
Only if you call doctor and change it to 90/document change on non-controls.
I never do this I just tell them to tell their doc to send a new script for 90 days...not risking an insurance audit and if the doc only sent 30 days well then tough sh#!
So many rules, so many states, and every pharmacist in that state is going to tell you something different. Use your judgment. If you want to do it, make some sort of documentation (whether you contacted the prescriber or not) because it will bite you in the as* when an insurance company comes to audit you.
In Texas, you may do this as long as they're over the age of 18 and it's not a psychotropic med.
The caremark insurance will sometimes give a rejection saying patient must refill 90 days. If they audit a cvs for changing a 30 day supply to 90 day supply it's like moving money from one pocket to the other. Some cvs stores would switch it while others would print off the rejection and put it in the call doctor basket.
It differs in every state. In IL yes, you can give (and bill) all 7x30 days at the same time (unlikely that any ins would pay for more than 90 days), even with controls. But every state is different, you need to find out what your specific state law says.
