Filing Supporting Documentation Sample Clauses

Filing Supporting Documentation. In addition to the intent to appeal notification, the Operator must provide supporting documentation for those medications being appealed within 34 days after it receives the pharmacy billing statement. Examples of supporting documentation, at a minimum should include, as applicable: a. Face sheets documenting date of admission; b. Physician orders with indication for use/diagnosis; c. Physician documentation supporting the need for a non‐formulary Brand Name Medication, when a Generic Medication equivalent was available; and d. VA pharmacy staff documentation of non‐availability or non‐formulary status of the medication.