Eligibility for Pharmacy
2 min
about eligibility for pharmacy eligibility provides pharmacists with the electronic delivery of pbm/payer member data in a pharmacy setting through the pharmacy management system (pms), the pharmacist can request patient information such as eligibility and pharmacy benefit coverage information see eligibility for pharmacy acrs docid\ mnrieqkq0lo85h9ytmiro for a list of applicable acrs eligibility identifiers the following information applies to eligibility requests (270) initiated from a pharmacy for an eligibility request from a pharmacy, the surescripts id s00000000000010 is sent in the isa08, gs03, and 2100a nm109 fields of the 270 the surescripts id will echo back in the isa06 and gs02 fields of the eligibility response eligibility response formulary information may not be returned in the eligibility response if requested by the pbm/payer this includes the fields formulary id alternative id coverage id copay id