Express Scripts is updating the process for submitting Florida Informed Consent Medicaid claims effective January 1, 2017. Pharmacies will need to submit Clarification Code 11 "Certification on File" in order for these claims to process. Please note impacted claims will have the secondary message "UNDER 13, RESUBMIT SCC 11, CERT ON FILE" as a reminder.

Currently pharmacies need to enter Prior Authorization (PA) type code 2 to identify they have the Florida Informed Consent on file and override reject 60 "Product/Service Not Covered for Patient Age."