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price modify /cvs
Started by sosoo
Let's say the copay is $30 but you want to price modify to $20. What I did was hit $10 cash as payment so the price drops from 30 to $20. Then afterwards next transaction I do cash refund for $10 nontaxable item to balance out the drawer.
If the script does not involve insurance you can price modify in rx connect if you bill as cash.
If the script does not involve insurance you can price modify in rx connect if you bill as cash.
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In some states you are legally required to waive medicaid co-pays if the patient cannot afford it. You can also potentially price modify scripts for patients who are paying cash but I'm not sure what the official policy is on this. I presume that is why it allows you to do it in some cases.
As far as modifying any other co-pay I'm pretty sure it would be considered a violation of the contract CVS has with the payor in almost every case and may even be considered fraud.
As far as modifying any other co-pay I'm pretty sure it would be considered a violation of the contract CVS has with the payor in almost every case and may even be considered fraud.
Let's say the copay is $30 but you want to price modify to $20. What I did was hit $10 cash as payment so the price drops from 30 to $20. Then afterwards next transaction I do cash refund for $10 nontaxable item to balance out the drawer.
If the script does not involve insurance you can price modify in rx connect if you bill as cash.
why would you ever do this? modify copay? wtf
This is thief, if loss prevention finds out you will lose your job. Each time you price modify the system records it. I wouldn't ever do this again.Let's say the copay is $30 but you want to price modify to $20. What I did was hit $10 cash as payment so the price drops from 30 to $20. Then afterwards next transaction I do cash refund for $10 nontaxable item to balance out the drawer.
If the script does not involve insurance you can price modify in rx connect if you bill as cash.
i think modifying a cash price every blue moon is not a problem. its point of sale (POS) is recorded, but they never bothered me or the other pharmacists doing it. just don't make it a habit. a PIC would not want to do this as it is an RX shrink.
Let's say the copay is $30 but you want to price modify to $20. What I did was hit $10 cash as payment so the price drops from 30 to $20. Then afterwards next transaction I do cash refund for $10 nontaxable item to balance out the drawer.
If the script does not involve insurance you can price modify in rx connect if you bill as cash.
Why would you do this? There is no reason. It is an LP red flag. You are not waving a $1.00 medicaid copay. You are reducing the price by $10.00 for no reason you could justify to LP
Copay assistance cards. Patient had rx for colchicine and copay was 30. He presents a copay card for colcrys to make his copay 20. Only problem is primary insurance doesn't cover colcrys. he was a jerk and we lowered his copay to keep him happy as a one time courtesy.
Another example is patient has rx filled and ready to sell but at register whines that it's only 10 at walmart why is it 20 here. Tells you to just put it back and transfer to walmart. As one time courtesy I offer to lower the price so he can pick it up this time here.
Or one time we sold a guy expired test strips by mistake (he had rx for it). We did not have any in stock to give as replacement until monday. I offer to switch the brand of test strips to another brand. I offer free meter to go along with strips so I price modify it to zero. I rang it up and it was $20. I then hit $20 cash payment so it's zero and complete sale. Then I do refund for 20 cash to balance out drawer.
I'm not even going to get started on all the BS stuff that happened at overnight stores.
Another example is patient has rx filled and ready to sell but at register whines that it's only 10 at walmart why is it 20 here. Tells you to just put it back and transfer to walmart. As one time courtesy I offer to lower the price so he can pick it up this time here.
Or one time we sold a guy expired test strips by mistake (he had rx for it). We did not have any in stock to give as replacement until monday. I offer to switch the brand of test strips to another brand. I offer free meter to go along with strips so I price modify it to zero. I rang it up and it was $20. I then hit $20 cash payment so it's zero and complete sale. Then I do refund for 20 cash to balance out drawer.
I'm not even going to get started on all the BS stuff that happened at overnight stores.
Copay assistance cards. Patient had rx for colchicine and copay was 30. He presents a copay card for colcrys to make his copay 20. Only problem is primary insurance doesn't cover colcrys. he was a jerk and we lowered his copay to keep him happy as a one time courtesy.
Another example is patient has rx filled and ready to sell but at register whines that it's only 10 at walmart why is it 20 here. Tells you to just put it back and transfer to walmart. As one time courtesy I offer to lower the price so he can pick it up this time here.
Or one time we sold a guy expired test strips by mistake (he had rx for it). We did not have any in stock to give as replacement until monday. I offer to switch the brand of test strips to another brand. I offer free meter to go along with strips so I price modify it to zero. I rang it up and it was $20. I then hit $20 cash payment so it's zero and complete sale. Then I do refund for 20 cash to balance out drawer.
I'm not even going to get started on all the BS stuff that happened at overnight stores.
But why are you doing refunds rather than just price modifying?
Copay assistance cards. Patient had rx for colchicine and copay was 30. He presents a copay card for colcrys to make his copay 20. Only problem is primary insurance doesn't cover colcrys. he was a jerk and we lowered his copay to keep him happy as a one time courtesy.
Another example is patient has rx filled and ready to sell but at register whines that it's only 10 at walmart why is it 20 here. Tells you to just put it back and transfer to walmart. As one time courtesy I offer to lower the price so he can pick it up this time here.
Or one time we sold a guy expired test strips by mistake (he had rx for it). We did not have any in stock to give as replacement until monday. I offer to switch the brand of test strips to another brand. I offer free meter to go along with strips so I price modify it to zero. I rang it up and it was $20. I then hit $20 cash payment so it's zero and complete sale. Then I do refund for 20 cash to balance out drawer.
I'm not even going to get started on all the BS stuff that happened at overnight stores.
Give them a gift card.....
Copay assistance cards. Patient had rx for colchicine and copay was 30. He presents a copay card for colcrys to make his copay 20. Only problem is primary insurance doesn't cover colcrys. he was a jerk and we lowered his copay to keep him happy as a one time courtesy.
Another example is patient has rx filled and ready to sell but at register whines that it's only 10 at walmart why is it 20 here. Tells you to just put it back and transfer to walmart. As one time courtesy I offer to lower the price so he can pick it up this time here.
Or one time we sold a guy expired test strips by mistake (he had rx for it). We did not have any in stock to give as replacement until monday. I offer to switch the brand of test strips to another brand. I offer free meter to go along with strips so I price modify it to zero. I rang it up and it was $20. I then hit $20 cash payment so it's zero and complete sale. Then I do refund for 20 cash to balance out drawer.
I'm not even going to get started on all the BS stuff that happened at overnight stores.
ummmm so the first situation, you basically just adjusted the cash price of a drug, that's okay I guess, but isn't colcrys pretty expensive? not sure what price CVS negotiated
2nd situation... I hope you didn't adjust the copay (meaning you ran it through insurance), and if you meant you adjusted the cash price like the 1st situation, you really need to stop using the word "copay"
3rd.... ehhhhhhhhhhhhhhhhhh... I guess okay the guy will just have a useless meter after a month
They will expect the one time courtesy every time. You have created monsters! On the upside, you are good at appeasing customers who don't deserve it, you could be a good DM.
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