Drug Utilization Management

Course overview

This course discusses refill too soon insurance rejections that are often encountered when filling refill or new prescriptions. It also discusses how to override this rejection with a few of the frequently used insurance companies. Insurance companies will usually allow a refill on a prescription once approximately 75% of the previous fill has been used up. This is typically close to 7 days early on a fill of a 30-day supply of a medication. On a 90-day supply, usually insurance companies will allow the prescription filled 21 days early.

The full course includes

1. Understanding Refill Too Soon
2. Understanding Quantity Limit