To access the Price Plan/General Information screen:
1. Select a Price Plan from the Price Plan Scan. The General Plan Information screen displays:
2. Use the definitions below to set the options:
| STORE CONTROL | |
| Pricing Options/Price Plans | |
| General Information Screen | |
| Field Name | Field Definition |
| Pricing Options | |
| Price Plan Type | Select the plan type from the drop-down. Options are: Retail or Cash, Medicaid or Third Party. |
| Price Plan Class | User-defined Price Plan group. |
| Medicare Part A | Check this option if the plan is a Medicare Part A Plan. |
| Medicare Part D | Check this option if the plan is a Medicare Part D Plan. |
| Price Table | Click the arrows and select the Price Table to attach to this Price Plan. |
| Alternate Price Plan | Check this option to use a secondary Price Plan for specified groups of medications excluded by this plan. The system automatically substitutes this price plan when drugs identified in the Exception Groups field are selected. |
| Rounding Tables | Click the arrows and select the Rounding Table to attach to this Price Plan. |
| Copay Table | Select a Price Table from the drop-down to attach to this Price Plan. |
| Exception Groups | Exception Groups are drugs which are covered by a specific price plan. The groups are user-defined (i.e., birth control pills identified as Group B). |
| Competitive Pricing | Check this option and if the drug prescribed has a competitive pricing schedule attached, the price table pricing is ignored and competitive pricing is used. |
| Fees | Click
Fees to display the Fee Breakdown options:
Incentive Fee Delivery Fee Administrative Fee Shipping Fee Postage Fee Other Fee Type the fee amount and click Save. |
| Bill Through HME | Check this option and a prescription filled in NRx is transferred to SystemOne automatically. This option is only available if NRx and SystemOne are on the same server. |
| Acquisition Cost Basis | This field is used to specify which cost field on the Drug Record will display on the prescription under Acquisition. The Transaction Acquisition Cost field and Price Quote use the Acquisition Cost Basis field. Options in this drop-down include: AWP, Medicaid, Acquisition, Miscellaneous 1 and Miscellaneous 2. |
| Data Validation | |
| Policy Number Pattern | The pattern typed in this field verifies
the third party number is entered correctly in the Policy Number
field on the Patient Insurance Record. Valid entries for the pattern
are:
# - Number @ - Letter ? - Any character Any other character specifies that character is required. |
| Person Pattern | The
pattern typed in this field verifies the third party number is
entered correctly in the Person Code on the Patient Insurance
Record. Valid entries for the pattern are:
# - Number @ - Letter ? - Any character Any other character specifies that character is required. |
| Group Number Pattern | The pattern typed in this field verifies
the third party number is entered correctly in the Group Number
field on the Patient Insurance Record. Valid entries for the pattern
are:
# - Number @ - Letter ? - Any character Any other character specifies that character is required. |
| Edits | |
| Dollar Limit | Type the dollar limit for an individual prescription. If this limit is exceeded during prescription processing, a warning displays. |
| Quantity Limit ML/GM/Unit | Type the quantity limit for the number of doses that can be prescribed for an individual prescription. |
| Days Supply Min/Max | Type the limit for the minimum and maximum days supply for an individual prescription. |
| Maximum Refills | Type the maximum number of refills for an individual prescription. |
| PRN Days Supply | If this Price Plan requires all PRN Dosage claims to print with a specific days supply, type the number of days here. |
| Maximum Dependent Age | Type the maximum age to which dependents are covered. |
| Stop Order Date (Days) | Type the limit for the expiration days of the prescription. If there is no limit, type the same number that is in the Rx Life (Days) field. |
| Rx Life (Days) | Type the number of days of the life of the prescription. The default is 365 days. |
| Early Refill Days | Type the number of days to allow early refills. Do not make an entry in this field and the Early Refill Percent field. |
| Early Refill Percent | Type the percent of total days supply to allow early refills. For example, type 10% and a prescription with a 30 day supply could be refilled three days early. |
| Resubmittal Grace Period | Type the number of days allowed to resubmit a claim under this Price Plan. |
| NCPDP DAW Default | Select the NCPDP DAW default from the drop-down. |
| Prior Authorization | Type the prior authorization number sent back from the Third Party/Medicaid. |
| Authorization Type | Select the Authorization Type from the drop-down. |
| Short cycle Days Supply Min/Max | Type
the minimum and maximum quantities for short cycle dispensing.
Error messages display if the quantities are not met and the following
conditions are met:
|
3. Click 
when complete.