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Related post: 700 Year of Birth Not Equal to File 701 Sex Not Equal to File 702 ECCA Not Allowed 999 Header Field Error Note: If code is received and not found in tables, Buy Nifedipine Online call the Provider Services Department July 2009 8.0.3 MEVS Denial Codes - Table 2 Co-payment Codes - Table 6 (Rev. 11/02) 127 Co-payment Requirements Have Been Met 128 No Co-payment Required - Recipient Under Age 21 Note: If code is received and not found in tables, call Generic Nifedipine the Provider Services Department November 2002 8.0.4 Co-payment Codes - Table 6 Rx Buy Nifedipine Denial Codes - Table 7 (Rev. 06/10) 132 Missing/Invalid item/NDC code 133 Item not covered for patient gender 134 Patient age exceeds maximum age 135 Patient age precedes minimum age 136 Requested item exceeds frequency limitation 137 Missing/Invalid quantity dispensed 140 Category of service not valid for item / NDC code 142 Missing/Invalid category of service 421 Dispense Brand Buy Cheap Nifedipine Drug Instead of Generic Equivalent 705 NDC/HCPCS Not Covered 706 Refill Code Exceeds Number of Refills Authorized 707 Previously Purchase Nifedipine Filled Refill 708 Exceeds NY Allowable Refill Maximum 709 Maximum Days Supply Exceeded 710 Maximum Quantity Exceeded 711 Date Filled Prior to Date Rx Written 712 Override Denied-UT not at limit 713 Refill over 180 days old from date Rx Written 714 Date Filled More than 60 days from Date Rx Written 715 Other Insurance Amount must be greater than Zero 716 Other Insurance Amount must be equal to Zero 717 Recipient has Other Insurance 718 HR Recipient-No Rebate Agreement 719 MA Only Covers Family Planning 720 Days Supply is less than Minimum Required 722 Family Health Plus Denial 724 Client Has Medicare Part D 725 Serial Number Missing 726 Serial Number Reported As Missing/Stolen 727 Serial Number Cannot Be Adjusted - Void and Resubmit 728 UR Deny - Conflict With Previous Service 731 UR Deny - Supporting Prior Service Not Found For Claim June 2010 8.0.5 MEVS Codes Note: If code is received and not found in tables, call the Provider Services Department at 1-800-343-9000. Pharmacy UT & P & C Codes - Table 8 (Rev. 11/02) AA UT Approved P&C Approved AD UT Approved, Services Not Ordered AN UT Approved, P&C Not Invoked DA UT At Service Limit, P&C Approved DD UT At Service Limit, Services Not Ordered DN UT at Service Limit, P&C Not Invoked LA UT Approved Near Limit, P&C Approved LD UT Approved Near Limit, Services Not Ordered LN UT Approved Near Limit, P&C Not Invoked NA UT Not Invoked, P&C Approved ND UT Not Invoked, Services Not Ordered NN UT Not Invoked, P&C Not Invoked PA UT Override Denied, P&C Approved PD UT Override Denied, Services Not Ordered PN UT Override Denied, P&C Not Invoked Note: If code is received and not found in tables, call the Provider Services Department June 2010 8.0.6 MEVS Codes Dispensing Validation System Reason Codes - Table 9 (Rev. 12/05) 129 Duplicate/Redundant DVS request 130 DVS process was not invoked 131 Item approved/DVS number Issued 132 Missing/Invalid item/NDC code 133 Item not covered for patient gender 134 Patient age exceeds maximum age 135 Patient age precedes minimum age 136 Requested item exceeds frequency limitation 137 Missing/Invalid quantity dispensed 139 DVS Order Nifedipine Online requires current date entry 140 Category of service not valid for item/NDC code 142 Missing/Invalid Category of Service 705 NDC/HCPCS not Covered 710 Maximum Order Quantity Exceeded 723 Client Medicare Part D Denial Note: If code is received and not found in tables, call the Provider Services Department December 2005 8.0.7 DVS Reason Codes - Table 9 Pend Reason Codes - Table 10 (Rev. 06/10) 301 Pending for Manual Pricing (NDC requires Manual Review 306 Item Requires Manual Review (NDC requires Manual Review prior to payment) 310 Pharmacy Service Included in In-State Facility Rate 311 PCP Plan Code Nifedipine Online Not on Contract File - Call Provider 317 Claim Pending: Excess Income/Spenddown 319 Prior Approval Not on or Removed From File 321 Pharmacy Service Included in Out-of- State Facility Rate 326 Pend For State Review - Purchase Nifedipine Online OHIP/OMIG 420 UR Pend - Conflict With Previous Service 732 UR Pend - Supporting Prior Service Not Found For Claim Note: These codes may appear in the Table 2 response area for non-ECCA and in some eligibility transactions since both transaction types will not be held in a pending status. They will be rejected if the conditions for these reason codes June 2010 8.0.8 Pend Reason Codes - Table 10 9.0 NCPDP REJECT CODES (Rev. 04/10) 04 M/I Processor Control Number 05 M/I Pharmacy Number 07 M/I Cardholder ID Number 08 M/I Person Code 09 M/I Birth Date 10 M/I Patient Gender Code 13 M/I Other Coverage Code 14 M/I Eligibility Override Code 15 M/I Date of Service 16 M/I Prescription/Service Reference Number 17 M/I Fill Number 19 M/I Days Supply 20 M/I Compound Code 21 M/I Product/Service ID 22 M/I Dispense as Written (DAW)/Product Selection 25 M/I Prescriber ID 28 M/I Date Prescription Written 29 M/I Number Refills Authorized 33 Order Nifedipine M/I Prescription Origin Code
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