{"id":34,"date":"2011-12-23T18:03:04","date_gmt":"2011-12-23T18:03:04","guid":{"rendered":"http:\/\/www.akron.duonglam.ca\/?page_id=34"},"modified":"2013-03-15T20:59:16","modified_gmt":"2013-03-15T20:59:16","slug":"odbtrillium","status":"publish","type":"page","link":"https:\/\/www.akron.duonglam.ca\/?page_id=34","title":{"rendered":"ODB\/Trillium"},"content":{"rendered":"\n<table id=\"tablepress-4\" class=\"tablepress tablepress-id-4\">\n<thead>\n<tr class=\"row-1 odd\">\n\t<th class=\"column-1\">Error Message<\/th><th class=\"column-2\">Intervention Code <\/th><th class=\"column-3\">Notes<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-hover\">\n<tr class=\"row-2 even\">\n\t<td class=\"column-1\">Maximum Cost Exceeded<\/td><td class=\"column-2\">MO (for $500-$999)<br \/>\nMP (for $999-$9999<\/td><td class=\"column-3\"><\/td>\n<\/tr>\n<tr class=\"row-3 odd\">\n\t<td class=\"column-1\">Initial Days Supply Error<\/td><td class=\"column-2\">NH<\/td><td class=\"column-3\">Document previous usage.  If first fill, reduce days supply to 30 day<\/td>\n<\/tr>\n<tr class=\"row-4 even\">\n\t<td class=\"column-1\">Prescribing Physician Code Error<\/td><td class=\"column-2\">MH<\/td><td class=\"column-3\">Update physicians CPSO# if entered as 99999<\/td>\n<\/tr>\n<tr class=\"row-5 odd\">\n\t<td class=\"column-1\">Patient not entitled to drug claim<\/td><td class=\"column-2\"><\/td><td class=\"column-3\">Ensure the version code has been entered from drug card<\/td>\n<\/tr>\n<tr class=\"row-6 even\">\n\t<td class=\"column-1\">Patient not covered by this plan<\/td><td class=\"column-2\">ML<\/td><td class=\"column-3\">**Ensure coverage is verified either by the SAV website or drug card<\/td>\n<\/tr>\n<tr class=\"row-7 odd\">\n\t<td class=\"column-1\">Patient last name error<\/td><td class=\"column-2\">PB<\/td><td class=\"column-3\"><\/td>\n<\/tr>\n<tr class=\"row-8 even\">\n\t<td class=\"column-1\">Product selection code error           <\/td><td class=\"column-2\">901(LU field<\/td><td class=\"column-3\">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<br \/>\n<br \/>\n<\/td>\n<\/tr>\n<tr class=\"row-9 odd\">\n\t<td class=\"column-1\">Drug\/Drug interaction potential<\/td><td class=\"column-2\">UG<\/td><td class=\"column-3\">Advise pharmacist of warning prior to override<\/td>\n<\/tr>\n<tr class=\"row-10 even\">\n\t<td class=\"column-1\">Exceed good faith limit<\/td><td class=\"column-2\">MW<\/td><td class=\"column-3\"><\/td>\n<\/tr>\n<tr class=\"row-11 odd\">\n\t<td class=\"column-1\">Service provided before effective date<\/td><td class=\"column-2\"><\/td><td class=\"column-3\">>65yr: pt was likely out of country for extended period.  Call ODB for coverage start date.<\/td>\n<\/tr>\n<tr class=\"row-12 even\">\n\t<td class=\"column-1\">Patient not entitled to drug claim<\/td><td class=\"column-2\"><\/td><td class=\"column-3\">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)<\/td>\n<\/tr>\n<tr class=\"row-13 odd\">\n\t<td class=\"column-1\">Quantity Reduction Required<\/td><td class=\"column-2\">NF<\/td><td class=\"column-3\">ensure that the days supply and quantity are appropriate<\/td>\n<\/tr>\n<tr class=\"row-14 even\">\n\t<td class=\"column-1\">Group Number Error<\/td><td class=\"column-2\"><\/td><td class=\"column-3\">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<\/td>\n<\/tr>\n<tr class=\"row-15 odd\">\n\t<td class=\"column-1\">Patient not entitle to drug claim<\/td><td class=\"column-2\">ML <br \/>\n-ensure  carrier ID field is populated with correct letter<br \/>\nD - Ontario Works<\/td><td class=\"column-3\">in some social assistance patients where coverage has been verified online<\/td>\n<\/tr>\n<tr class=\"row-16 even\">\n\t<td class=\"column-1\">Client ID# error<br \/>\n-drug card presented with 9 digits and a letter (C or A)<\/td><td class=\"column-2\"><\/td><td class=\"column-3\">-this card is only to confirm dental coverage.  Call 1888.284.3928 to verify coverage<\/td>\n<\/tr>\n<tr class=\"row-17 odd\">\n\t<td class=\"column-1\">No Record of Required<br \/>\nPrior Therapy<\/td><td class=\"column-2\">MZ<\/td><td class=\"column-3\">-for fentanyl patch where there is no previous record  in previous 180ds<\/td>\n<\/tr>\n<tr class=\"row-18 even\">\n\t<td class=\"column-1\">Provincial health card # error<\/td><td class=\"column-2\">ensure the correct # is in the PHN field in the first tab of patient profile. <\/td><td class=\"column-3\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-4 from cache -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":24,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-34","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages\/34","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=34"}],"version-history":[{"count":5,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages\/34\/revisions"}],"predecessor-version":[{"id":213,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages\/34\/revisions\/213"}],"up":[{"embeddable":true,"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=\/wp\/v2\/pages\/24"}],"wp:attachment":[{"href":"https:\/\/www.akron.duonglam.ca\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=34"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}