| Name | Value |
|---|---|
| SERVICE REASON CODE | FMC |
| BRIEF DESCRIPTION | Formulary Change |
| CODE TYPE ABBREVIATION | TIS |
| CODE DESCRIPTION | THERAPEUTIC INTERCHANGE/SUBSTITUTION REASON |
| FULL DESCRIPTION | Indicates Pharmacy is unable to supply medication as prescribed. |
| CHANGE REQUEST REASON TEXT | Pharmacy is unable to supply medication as prescribed; however, alternative options may exist. Please approve an option below or Cancel Rx and send a replacement. |