Case Re-Review Request Drug Details

This page allows you to enter changes to prescription drug details related to your amended re-review request. On this page, you can:

• Remove drugs that are no longer required
• Change information (such as dosage requirements) for drugs already included in this case
• Add additional drugs

This page displays:

Case Number: The Case Number for re-review

Re-Review Type: Displays the type of re-review you selected on the Case Re-Review Request page. Options are:

• Drug
• Both (Medical and Drug)

To continue with your re-review request, you must provide medical reasons showing that your care has changed enough to warrant an amended review. Use the sections below to provide these reasons.

Summary of Previously Approved Prescription Drugs

This section displays a summary table of the prescription drugs that were included in the original case. You can remove or change these entries. You may only edit dosages and frequencies for drugs that are already listed in the summary table.

To remove a drug from the summary:

Select the This item is no longer required radio button in the drug line item to be removed.

To change a drug's dosage:

1. Click the Dosage hyperlink to display the Drug Dosage Lookup page.
2. Select a new dosage from the list of available dosages for this drug.
3. Click Continue on the Drug Dosage Lookup page to save the new dosage.
   The Dosage and NDC fields on the Case Re-Review Request Drug Details page update with the new dosage selected.
4. Click Cancel on the Drug Dosage Lookup page to exit without changing the dosage.

To change a drug's frequency:

Enter a new value in the appropriate Frequency field (Day, Week, or Month).

Click Reset in any line to undo your changes and display the drug information from the summary table of the original case.

Note: Your changes will be saved when you click the Continue button.

Drug Lookup and Additional Medication Summary

If additional medication is required, you can use the Drug Lookup function to search for and add additional prescription drugs to the case. The Drug Entry grid displays details for drugs that can be added to the case. The Additional Medication Summary grid shows drugs that have been selected and added to the case.

To Search for Prescription Drugs:

1. Click Drug Lookup on the Case Re-Review Request Drug Details page.
   The Rx Search page displays.
2. Enter search criteria.
   Entering full or partial phrases or numbers in the Drug Name and Dosage fields respectively retrieves all results that include that phrase or number (For example: Entering Aspirin will retrieve all variants of the drug name containing the term aspirin)
3. Click Search to initiate the search, or click Clear to remove the search criteria.
4. To add a drug to the Drug Entry grid on the Case Re-Review Request Drug Details page, click Select.

To add a drug to the Additional Medication Summary table:

1. Complete all required fields in the Drug Entry grid.
2. Click Add, or click Clear to remove all data.
   The drug information is moved to the Additional Medication Summary grid. This summary can display a maximum of 200 drugs.

To remove a newly added drug form the Additional Medication Summary grid, click Delete [X].

Note: As part of the re-review request, you may change from brand-name to generic drugs and drug types. However, this change cannot be the sole reason for you re-review request. You must include additional changes (i.e., changes in dosage and/or frequency, additional drugs, or drugs no longer taken) to qualify for a re-review request.

Click Previous to return to the:

• Case Re-Review Request page, if you selected "Drug" as the re-review request type.
• Case Re-Review Request Medical Details page, if you selected "Both" as the re-review request type.

Click Continue to continue with the request and display the Amended Review Case Documents page.

Click Cancel to cancel the re-review request and display the Cancel Re-Review Request Confirmation page.