NMS DUR Response Messages

An NMS Response Message may appear as an acknowledgment for the pharmacist. While the Response Message may prompt the pharmacist at the time of a rebilling or other such action, this is only meant to provide real time information of the use/misuse of narcotics and controlled substances to all healthcare providers and does not prevent the dispensing of a medication. Review the Code, Response Description, Recommendation, and Response Message of the Response Messages window, and select the OK button to continue.

Possible DUR Response Codes

DUR Response Code	Description	Meaning of the Warning Message
DE	Fill/refill too late	Indicates that, based on the days supply of the previous claim submitted to the NMS, a refill is overdue at this time.
D7	Refill too soon	Indicates that, based on the days supply of the previous claim submitted to the NMS, a refill should not be required at this time. The patient may still have enough product available.
MH	May be double-doctoring	Indicates that, including the current claim, the recipient has obtained monitored drugs prescribed by 3 or more different prescribers' in the past 28 days
MI	Poly-pharmacy use indicated	Indicates that, including the current claim, the recipient has obtained monitored drugs from 3 or more different dispensaries in the past 28 days. The other pharmacy’s telephone number is provided in the claim response message for the MI response code.
MY	Duplicate drug other pharmacy	Indicates that prior dispensing transaction exists for: same patient same Drug Identification Number/Product Identification Number or interchangeable product same date of service different dispensary

Sample NMS Response Message

The following example explains how to read the NMS Response Message. In this example, the message is notifying the user that the patient has filled the same drug at another pharmacy. In this situation it is helpful to know the quantity filled and the date it was filled. The DIN is displayed, as is the telephone number of the other pharmacy. This information allows the pharmacist to determine whether or not this is truly a case of poly-pharmacy.