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Frontiers in Neuroscience, 18 , Article 11771532

Members will no longer be allowed to receive a drug with a legacy exemption if one of the following is true: When a pharmacy claim is submitted in real-time for a member who is not eligible to receive a drug with a legacy exemption, the pharmacy will receive an EOB code and an NCPDP reject code indicating a denial in the claim response informing the pharmacy that the drug requires PA

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