| Error Message | Intervention Code | Notes |
|---|---|---|
| Maximum Cost Exceeded | MO (for $500-$999) MP (for $999-$9999 | |
| Initial Days Supply Error | NH | Document previous usage. If first fill, reduce days supply to 30 day |
| Prescribing Physician Code Error | MH | Update physicians CPSO# if entered as 99999 |
| Patient not entitled to drug claim | Ensure the version code has been entered from drug card | |
| Patient not covered by this plan | ML | **Ensure coverage is verified either by the SAV website or drug card |
| Patient last name error | PB | |
| Product selection code error | 901(LU field | An Adverse Drug Reaction form must be completed by physician for the brand to be covered. Attach form to hardcopy. http://www.hc-sc.gc.ca/dhp-mps/alt_formats/hpfb-dgpsa/pdf/medeff/ar-ei_form-eng.pdf |
| Drug/Drug interaction potential | UG | Advise pharmacist of warning prior to override |
| Exceed good faith limit | MW | |
| Service provided before effective date | >65yr: pt was likely out of country for extended period. Call ODB for coverage start date. | |
| Patient not entitled to drug claim | if patient has had this drug before. Make sure the doctor hasn\'t changed. Only certain HIV doctors are allowed to prescribe some HIV meds (i.e Mepron liquid) | |
| Quantity Reduction Required | NF | ensure that the days supply and quantity are appropriate |
| Group Number Error | patient is a resident of a LTCF. Obtain name and address of LTCF and contact ODB for ODP# which is entered in Group ID. If pt has been discharged, ask for discharge date and contact ODB. ODP# can be obtained from http://www.health.gov.on.ca/en/pro/programs/drugs/odbf/exempted_ltc_homes_city.pdf | |
| Patient not entitle to drug claim | ML -ensure carrier ID field is populated with correct letter D - Ontario Works | in some social assistance patients where coverage has been verified online |
| Client ID# error -drug card presented with 9 digits and a letter (C or A) | -this card is only to confirm dental coverage. Call 1888.284.3928 to verify coverage | |
| No Record of Required Prior Therapy | MZ | -for fentanyl patch where there is no previous record in previous 180ds |
| Provincial health card # error | ensure the correct # is in the PHN field in the first tab of patient profile. |