PANotification Elements

mandatory 

PBM/payer assigned identifier for request.

mandatory 

Status of the prior authorization as sent. Options include:

A – Approved: The medication was approved by the payer.

F – Deferred: The medication request is being reviewed by the payer.

D – Denied: The medication was not approved by the payer.

N – Not Required: A prior authorization is not required for this medication.

R – Requested: The action of obtaining a prior authorization is being sought.

P – Partially Denied:The product was partially denied by the payer.

mandatory 

Drug name (full drug name, strength, and form).

For a compound, the names of the ingredients in the compound or the prescriber’s preferred name should be communicated in this field. See Drug DescriptionDrug Description Best Practices section for more information.

mandatory