Tip: Shared Pharmacy Prescription Numbers
- Kenley Money
Number | 0119 |
|---|---|
Submitting Entity (SE) | All |
Add Date | Jul 29, 2022 |
Update Date | May 25, 2023 Apr 10, 2024 |
Update | Included in June 2023 data tip email. Reposted in April 2024 Data Tips Email |
Description | Prescription numbers (PC058) are generated by the point of sale systems at the individual pharmacies. Therefore, the same prescription number can be found on claims for different members (PC001+PC107) and pharmacies (PC020). To understand and track the progression of prescription fills across time, group the prescription number (PC058), pharmacy (PC020) and member (PC001+PC107) then sort by paid date (PC017) and/or fill date (PC032). Unlike medical claims, the pharmacy claim number (PC004) and claim line (PC005) should be included with caution because prescription fills and refills are usually considered separate claims and have different claim numbers. See examples below. |
Active/Resolved | Active |
Action / Resolution |
|
Category 1 | Pharmacy |
Category 2 | Misc |
Tip / Issue | Tip |
Submitting Entity | Member ID | Claim Number | Gender | Year of Birth | Paid Date | Fill Date | Drug Name | Pharmacy Number | Script Number |
73288 | 7171004171117 | 34z143454531 | F | 1945 | 8/3/2018 | 8/2/2018 | HYDROCODONE/ACETAMINOPHEN | 410263 | 306174 |
79413A | 116174145414 | 113573z37733351111Q | M | 1972 | 12/23/2019 | 12/23/2019 | LISINOPRIL TAB 5MG | 418613 | 306174 |
79413A | 784011857 | 1513z5313147307114Q | M | 1936 | 5/16/2015 | 5/16/2015 | HYDROCODONE-ACETAMINOPHEN | 419766 | 306174 |
79413D | EA470177RCOX | 1105443z4571013 | F | 1942 | 2/27/2019 | 2/27/2019 | HYDROCODONE/ACETAMINOPHEN | 419398 | 306174 |
95885 | 810004587177 | 35z434073171 | M | 1983 | 10/10/2015 | 10/9/2015 | OXYCODONE/ACETAMINOPHEN | 414780 | 306174 |
99EBD1 | 11001401 | 14300z540543015 | F | 1983 | 10/27/2014 | 10/27/2014 | AMPHETAMINE-DEXTROAMPHETAMINE TAB 30 MG | NULL | 306174 |
99EBD1 | 87707101 | 533z0174z4 | M | 1961 | 9/8/2016 | 9/8/2016 | HYDROCODONE/ACETAMINOPHEN | NULL | 306174 |
99MCD1 | 518567101 | 40143310011z3 | F | 1962 | 11/27/2014 | 11/17/2014 | HYDROCODONE-ACETAMINOPHEN 5-32 | 140048407 | 306174 |
99MCD1 | 7174417701 | 40151z703zz43 | M | 2002 | 6/25/2015 | 6/16/2015 | FOCALIN XR 20 MG CAPSULE | 146315407 | 306174 |
99MCD1 | 7671700701 | 4013343037551 | M | 2002 | 12/19/2013 | 12/9/2013 | FOCALIN XR 15 MG CAPSULE | 140029407 | 306174 |
99MCD1 | 7711717701 | 4014047047034 | M | 2013 | 4/3/2014 | 3/28/2014 | AMOX-CLAV 600-42.9 MG/5 ML SUS | 137403407 | 306174 |