Examples of Original prescription in a sentence
Original prescription or updated prescriptions for corrective lenses or contact lenses.
Original prescription documents shall be filed and maintained in accordance with the provisions of ARTICLE XII of these regulations.
Original prescription order number, date filled; full name and address of patient; name, address and DEA number (if applicable) of practitioner.
Original prescription drug receipts from the pharmacist, physician or hospital indicating the name of the prescribing physician, prescription number, nameof preparation, date, quantity andtotal cost.Note: If you refuse or fail to sign the medical authorization form or refuse to provide any information pertinent to your claim, it may result in a delay in processing your claim.
Original prescription drug receipts from the pharmacist, physician or hospital indicating the name of the prescribing physician, prescription number, name of preparation, date, quantity and total cost.
Original prescription drug receipts from the pharmacist, physician or hospital indicating the name of the prescribing physician, prescription number, name of preparation, date, quantity and total cost.Note: If you refuse or fail to sign the medical authorization form or refuse to provide any information pertinent to your claim, it may result in a delay in processing your claim.
Notes or narratives supporting eye examinations, medical services, and auxiliary procedures.2. Original prescription or updated prescriptions for corrective lenses or contact lenses.3. Prior authorization documentation.(8) Psychologist services:1.
Original prescription (15 grams maximum per prescription) plus one refill (15 grams maximum per prescription OR a total life-time dose of 30 grams per recipient.
Original prescription with written instructions from the child’s physician is REQUIRED for all prescribed medication.
Original prescription drug receipts from the pharmacist, “physician” or “hospital” indicating the name of the prescribing “physician”, prescription number, name of preparation, date, quantity and total cost.