Effective December 1, 2016 you will be required to review the flagged medications and resolve any duplication in the system when the pharmacy system alerts you to duplicate medications using reason code TD (Therapeutic Duplication) for Mississippi UnitedHealthcare Community Plan members.

Code TD is a safety edit that compares the member’s current medications to the drug you are processing. It flags any patient request to fill a medication within a class of medication already filled within the last 30 days. The flag requires you to research why the patient is attempting to fill another medication in the same class so quickly. This TD safety edit previously went live with the Antipsychotic and Respiratory Drug classes and now includes the Diabetes and Opioid drug classes.

*Please see attached PDF for more information.

Effective December 1, 2016 you will be required to review the flagged medications and resolve any duplication in the system when the pharmacy system alerts you to duplicate medications using reason code TD (Therapeutic Duplication) for Florida UnitedHealthcare Community Plan members.

Code TD is a safety edit that compares the member’s current medications to the drug you are processing. It flags any patient request to fill a medication within a class of medication already filled within the last 30 days. The flag requires you to research why the patient is attempting to fill another medication in the same class so quickly. This TD safety edit previously went live with the Antipsychotic and Respiratory Drug classes and now includes the Diabetes and Opioid drug classes.

*Please see attached PDF for more information.

Please note Anthem is experiencing a system issue affecting Anthem Commercial and Medicaid members only which may cause claims to reject with NCPDP reject 85, "Claim Not Processed", or with NCPDP reject 97, "Payer Unavailable". Anthem expects this issue to be corrected no earlier than 3:00 pm EST today November 30, 2016. Please begin to reprocess claims for Anthem Commercial and Medicaid members after 3:00 pm EST today.

Please consider an emergency 72-hour fill where appropriate.

Thank you for your patience.