| Name | Value |
|---|---|
| SERVICE REASON CODE | H |
| BRIEF DESCRIPTION | Prescriber must enroll/re-enroll with prescription benefit plan |
| CODE TYPE ABBREVIATION | MRSC |
| CODE DESCRIPTION | MESSAGE REQUEST SUB-CODE |
| FULL DESCRIPTION | Expired or no authorization on file with VA. Fax RFS Form (VA 10-10172) to [ADD_TEXT_HERE] to request auth, or send Rx to non-VA pharmacy (not covered by VA). Rx will be cancelled at this time, resend upon approval including authorization #. |