PTCE Pharmacy Technician

Category - Insurance

Leslie is going on vacation for two months in 3 days. She last bought a 30 day supply of Cymbalta on 1/12/12. It is now 1/18/12, and she needs the medication for use while on her trip. What should you ask from the insurance company to get coverage for this extra supply of medication?
  1. Lost medication override
  2. Stolen medication override
  3. Vacation override
  4. Prior authorization
Explanation
Answer: C - You should ask the insurance company for a vacation override. Many insurance plans allow for an extra supply of medication to cover times when a patient is on vacation, so that they do not run out of medication. The pharmacy technician may be able to obtain this override by calling the patient's insurance company. They will often need to provide the dates the patient will be away, and their destination. The insurance company will then add the override to the computer system, if approved, so that the prescription can be billed online, and filled, for the patient. Not every insurance plan offers vacation overrides.
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