Electronic Prescribing
Electronic prescribing (e-prescribing) is the transmission of prescription or
prescription-related information through electronic media. E-prescribing takes
place between a prescriber, dispenser, pharmacy benefit manager (PBM) or health
plan. It can take place directly or through an e-prescribing network. With
e-prescribing, health care professionals can electronically transmit both new
prescriptions and responses to renewal requests to a pharmacy without having to
write or fax the prescription.
E-Prescribing for Part B Drugs
* Reviewers will accept as a valid order any drugs “incident to” Durable
Medical Equipment (DME), other than controlled substances, ordered through a
qualified E-prescribing system.
* When Part B drugs and/or drugs “incident to” DME, other than controlled
substances, have been ordered through a qualified E-prescribing system, the
reviewer will not require the provider to produce hardcopy pen and ink
signatures as evidence of a drug order.
* When reviewing claims for controlled substance drugs, the reviewer will only
accept hardcopy pen and ink signatures as evidence of a drug order.
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