Why did I receive a “Correct Days Supply” message when processing a claim?
A standard part of the Assure Card® is our Concurrent Drug Utilization Review service. This additional source of information can enhance your customer service capabilities by checking for potential problems that may not be covered by your pharmacy practice software. In order for the program to work effectively it is vital that we receive the correct days supply information. The majority of our plans offer dispensing limitations of a 34 day supply for non-maintenance medications and a 100 day supply for maintenance medications. (Please refer to your pharmacy manual (pdf) for a description of the maintenance classification.) Proper use of the days supply field is critical to ensure proper claims payments and Drug Utilization Review messages. Note: With PRN (take as needed) and Take as Directed medications, determining the proper days supply can be difficult. In these cases, a realistic estimate is all that is required.
