The Georgia Medicaid Fee-For-Service pharmacy system has now been updated to accept a pharmacist’s NPI as the prescriber ID on flu vaccine claims using a Submission Clarification Code = 42. The below communication will be sent in an upcoming pharmacy banner.
PHARMACIST ORDERED FLU VACCINES
The U.S. Department of Health and Human Services (HHS) issued an eighth amendment to the Declaration under the Public Readiness and Emergency Preparedness Act (PREP Act), expanding the authority for pharmacists to order influenza vaccines. For flu vaccine claims with fill dates on or after 08/04/2021, pharmacies may utilize a Submission Clarification Code (SCC) of 42 in NCPDP Field: 420-DK in response to a rejection regarding prescriber NPI when the prescribing NPI is the pharmacist of record and is compliant with state and federal guidlines.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.