What is another name for Rx Nova, the system in which you can see is the member is currently in the Coverage Gap?

Under which drawer in the Rx Nova (aka Rx Call Connect) Claims section would you be able to see which Tier level the member's medication is under?

Where would you find the medication the member is taking in Rx Nova (aka Rx Call Connect)?

What does claim status "REV" mean?

Under which section in Rx Nova (aka Rx Call Connect) can you find the reason that the medication was denied?

What happens in the event that a member receives a rejection when they go to pick up their prescription at their local pharmacy?

A Refill Too Soon (RTS) is a type of ______________________________.

Select the Coverage Determinations types that require the Formulary Exceptions path to obtain a supporting statement.

Which Coverage Determination provides the member the option of answering their own medical questionnaire if needed?

Which EOC does NOT reflect a "denial" on PA Hub?

What is the timeframe for prescribers to respond with their supporting statement?

After receiving a response form the prescriber, CPHP will make a determination as expeditiously as the member's health requires, but no later than:

Who is responsible for assisting the caller with completing the questionnaire?

A member calls after going to his pharmacy and being charged a high copay for his medications.  The member stated he cannot afford the copay and he know that he would not qualify for LIS.  What type of Coverage Determination would you process in this case?

What is the processing timeframe for Standard Coverage Determinations?

For guidance on creating EOCs, ICRs should refer to:

Based on the transitional supply policy, CPHP will cover the medication for an initial 90 day period and approve a one-time ________________ supply.

Under what drawer in Rx Nova (aka Rx Call Connect) would you be able to see the total amount of the ICL the member has reached so far?