Effective December 1, 2016 you will be required to review the flagged medications and resolve any duplication in the system when the pharmacy system alerts you to duplicate medications using reason code TD (Therapeutic Duplication) for Louisiana UnitedHealthcare Community Plan members.

Code TD is a safety edit that compares the member’s current medications to the drug you are processing. It flags any patient request to fill a medication within a class of medication already filled within the last 30 days. The flag requires you to research why the patient is attempting to fill another medication in the same class so quickly. This TD safety edit previously went live with the Antipsychotic and Respiratory Drug classes and now includes the Diabetes and Opioid drug classes.

When a medication is flagged for TD, it produces a soft reject and displays this message:

TD: ANOTHER [specific drug class] PRODUCT WAS FILLED

*Please see attached PDF for more information.

Effective December 1, 2016 you will be required to review the flagged medications and resolve any duplication in the system when the pharmacy system alerts you to duplicate medications using reason code TD (Therapeutic Duplication) for Ohio UnitedHealthcare Community Plan members.

Code TD is a safety edit that compares the member’s current medications to the drug you are processing. It flags any patient request to fill a medication within a class of medication already filled within the last 30 days. The flag requires you to research why the patient is attempting to fill another medication in the same class so quickly. This TD safety edit previously went live with the Antipsychotic and Respiratory Drug classes and now includes the Diabetes and Opioid drug classes.

When a medication is flagged for TD, it produces a soft reject and displays this message:

TD: ANOTHER [specific drug class] PRODUCT WAS FILLED

*Please see attached PDF for more information.

Effective December 1, 2016, you will be required to review the flagged medications and resolve any duplication in the system when the pharmacy system alerts you to duplicate medications using reason code TD (Therapeutic Duplication) for Texas UnitedHealthcare Community Plan members.

Code TD is a safety edit that compares the member’s current medications to the drug you are processing. It flags any patient request to fill a medication within a class of medication already filled within the last 30 days. The flag requires you to research why the patient is attempting to fill another medication in the same class so quickly. This TD safety edit previously went into effect with the Respiratory Drug class on and has been expanded to include the Diabetes and Opioid drug classes.

When the pharmacy system flags a medication for TD, it produces a soft reject and displays this message: TD: ANOTHER [specific drug class] PRODUCT WAS FILLED

*Please see attached PDF for more information.

Effective December 1, 2016, you will be required to review the flagged medications and resolve any duplication in the system when the pharmacy system alerts you to duplicate medications using reason code TD (Therapeutic Duplication) for Kansas UnitedHealthcare Community Plan members.

Code TD is a safety edit that compares the member’s current medications to the drug you are processing. It flags any patient request to fill a medication within a class of medication already filled within the last 30 days. The flag requires you to research why the patient is attempting to fill another medication in the same class so quickly. This TD safety edit previously went into effect with the Respiratory Drug class on and has been expanded to include the Diabetes and Opioid drug classes.

When the pharmacy system flags a medication for TD, it produces a soft reject and displays this message: TD: ANOTHER [specific drug class] PRODUCT WAS FILLED

*Please see attached PDF for more information.

US Script and CVS Caremark® previously announced that effective November 1, 2016, CVS Caremark would begin to process claims for Sunflower Health Plan. This notice is to inform you that this implementation is being delayed. The timeline for implementation is being developed and notifications will be made at least 30 days before implementation.

Claims for Sunflower Health Plan should continue to be processed through US Script until such time US Script and CVS Caremark notify you otherwise. Claims will be reimbursed according to your US Script Network Enrollment Forms and will be paid in accordance with the Kansas Department of Health & Environment requirements for KanCare Medicaid pharmacy claims. Claims for Sunflower Health Plan claims will remain on your US Script 835 or remittance advice.

Please continue to process claims to US Script - RXBIN: 008019.

Claims processing questions for Sunflower Health Plan should be directed the US Script Pharmacy Help Desk at 1-877-249-2718.