Submitting a Prior Approval Claim to NIHB

NIHB provides prior approval for some prescriptions. The Prior Approval Number applies to a specific authorization string, and is not applicable when prescriptions are re-authorized.

The Prior Approval Number must be entered before the prescription is filled. Once a Prior Approval Number is entered for a prescription, it will be retained for all refills in the same string of authorization. It will be automatically be removed when the prescription is re-authorized.

Follow these steps to enter a Prior Approval Number:

1. Open the prescription in Rx Detail and fill in all of the required information.
2. Press the Third Party tab.
3. Locate the Special Auth # field on the right side of the screen.
4. Enter the Prior Approval Number in the Special Auth # field.
5. Submit the prescription by pressing Fill, Queue, or Multi-Fill.