E-Prescribing. The Contractor shall support e-Prescribing services. Much of the e-Prescribing activity is supported by prescribing providers through web and office-based applications or certified electronic health record (EHR) systems to communicate with the pharmacies. When EHR systems are used, the Contractor shall supply the EHR systems with information about member eligibility, patient history and drug formulary.
E-Prescribing. The Contractor shall support e-Prescribing services. Much of the e-Prescribing activity is supported by prescribing providers through web and office-based applications or certified electronic health record (EHR) systems to communicate with the pharmacies. When EHR systems are used, the Contractor shall supply the EHR systems with information about member eligibility, patient history and applicable PDL or drug formulary. The Contractor should consider an automated PA process using a rules-based clinical editing algorithm that integrates paid medical and pharmacy claims. The Contractor agrees to work with OMPP and the fee for service PBM to transition the pharmacy benefit back to the FFS PBM if OMPP decides to implement the FFS pharmacy benefit for Hoosier Healthwise members.
E-Prescribing. The MCO must provide the appropriate data to the national e-prescribing network, which at a minimum will support: eligibility confirmation, PDL benefit confirmation, identification of preferred drugs that can be used in place of non-preferred drugs ("alternative drugs"), medication history, and prescription routing.
E-Prescribing. Pharmacy shall accept prescription orders sent from Covered Entity’s electronic medical record system.
E-Prescribing. Member Pharmacy shall support and comply with all electronic prescription standards, requirements, and guidance adopted by CMS, the federal Drug Enforcement Administration, and other federal and state government agencies as required by Law, when such final standards, requirements, and guidance are effective, and as such standards, requirements, and guidance may be revised from time to time, including but not limited to: (i) NCPDP SCRIPT Standard, Implementation Guide, Version 8 Release (8.1) or Version 10 Release 6 (10.6) for communications concerning prescriptions or prescription-related information between Member Pharmacy and prescribers; (ii) NCPDP SCRIPT 8.1 or 10.6 for communications concerning medication history between MedImpact, Member Pharmacy and prescribers and refill status between Member Pharmacy and prescribers; (iii) NCPDP Telecommunication Standard Specification, Version D, Release 0 (Version D.0) for communications concerning eligibility between MedImpact and Member Pharmacy; (iv) the prescriber’s NPI; and (V) additionally, for electronic prescriptions of controlled substances, The Department of Justice, Drug Enforcement Administration’s Electronic Prescriptions for Controlled Substances Final Rule, 75 FR 16236 (March 31, 2010). Without limiting the generality of the foregoing, in addition, Member Pharmacy shall ensure that all electronic prescription claims include Member Pharmacy’s and the prescribers’ NPIs (if the prescriber’s NPI is not available, another non-NPI identifier such as the prescriber’s DEA number or the prescriber’s state license number, as permitted by state Law, must be included). Also, Member Pharmacy shall use NCPDP Telecommunication Standard Version D.0 Field 419 DJ – Prescription Origin Code so that the source of origin for prescriptions filled can be identified and reported.
E-Prescribing. The Commonwealth intends to implement enhancements to electronic systems for prescribing, dispensing and capturing data for PBS medicines, including the development of a national consumer-centric e-Prescribing system in consultation with relevant stakeholders including Medicines Australia. Such e-Prescribing arrangements are intended to:
E-Prescribing. BCBSNC or its designee will support e-Prescribing transaction standards for eligibility, formulary, and medication history to allow prescribers to electronically send Members' prescriptions directly to a Network Participant from the point-of-care.
