Intervention Codes
Telus - ESI - Green Shield
ESI Intervention Codes
Step Therapy Program
Message: PREFERRED OR STEP DRUG MUST BE SUBMITTED
UP - First-line therapy ineffective
UQ - First-line therapy not tolerated by patient
Telus Assure Intervention Codes
Trial for New Prescriptions
Message: INVALID DAYS SUPPLY - TRIAL DRUG PROGRAM
MG - trial drug program declined
Green Shield Canada Intervention Codes
Initial Days Supply for New Prescriptions
Message: INITIAL RX DAYS SUPPLY EXCEEDED
NH - initial Rx program declined
Vacation Supply
Message: IDENTICAL CLAIM HAS BEEN PROCESSED
GSC allows vacation supplies to a maximum of 183 days
MV - vacation supply
Maintenance Medication Fill Limits
Message: DAYS’ SUPPLY LOWER THAN MINIMUM ALLOWABLE.
GSC will limit the number of fills to five per year for maintenance drugs included in the list.
ER - Override days’ supply limit for period
Early Refill: Dose Change
Message: FILL TOO EARLY
MN - replacement claim due to dose change
Claim Resubmission
Message: QUANTITY REDUCTION REQUIRED
NF - override quantity appropriate
For audit purposes, the pharmacy should document all relevant details about the prescription to support the selection of intervention code.