Net-Rx Recent News

Pharmacists sometimes have hundreds of prescriptions to fill each day. In a fast-paced environment, sometimes good billing practices and operational habits can be overlooked, jeopardizing the health of your business. Here are the top 5 things you should do to make sure you receive optimum reimbursement from third-party payers.     

Have you ever wondered why payers will reject some claims, adjudicate others with profits, or respond on some with losses? The answer may lay with whether the medications’ NDC (National Drug Code) is on the payer’s formulary list.  If it is on the list, what tier is it on and is it a preferred medication? The answer may affect the reimbursement amount and patient copay assignments.