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11/9/26 Table 8.3

Prescription Claim Rejection Codes

TermDefinition
5 Missing or invalid pharmacy number
6 Missing or invalid group number
7 Missing or invalid cardholder ID number
8 Missing or invalid person code
9 Missing or invalid birth date
11 Missing relationship code
19 Missing days' supply
22 Missing or invalid Dispense as Written (DAW)/product selection code
25 Missing or invalid prescriber ID
26 Missing or invalid unit of measurement
54 Nonmatched National Drug Code (NDC) number
60 Drug not covered for patient
75 Prior authorization required
79 Refill too soon
Created by: Nutmeg022
Popular Pharmacology sets

 

 



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