Recently, important system functionality required that claims for drugs dispensed in their smallest available marketed package size (unbreakable packages) must be submitted with the correct days’ supply for the submitted quantity.

Medications in “Unbreakable Packages” are those that must be dispensed in their original container/package and cannot be opened or broken. Please submit these claims with a day supply that is consistent with the dosing instructions on the prescription, even if the day supply exceeds the pharmacy contract.

*Please see attached PDF for more information.