Joe Smith last filled his prescription for a 30 day supply of zolpidem, 10mg using his insurance, on 11/2/12. Today is 11/7/12, and he would like to fill the prescription again. What rejection message is the insurance company most likely going to respond with?

Question

Quizplus · Accepted Answer

The insurance company will most likely respond to this billing request with the rejection message "Refill too soon". This is because the patient is asking for a refill of a 30 day prescription only 5 days after receiving his last fill. He should not need more medication for another 25 days. Insurance companies will generally pay for the next fill of a medication when the previous fill is at least 85% complete; trying to dispense the next fill before this point will result in the rejection message "refill too soon".

Joe Smith Last Filled His Prescription for a 30 Day