DA (8)    ERX SERVICE REASON CODES (52.45)

Name Value
SERVICE REASON CODE DA
BRIEF DESCRIPTION Drug-Allergy
CODE TYPE ABBREVIATION REA
FULL DESCRIPTION
Indicates that an adverse immune event may occur due to the patient's previously
demonstrated heightened allergic response to the drug product in question.
CHANGE REQUEST REASON TEXT
Pt has a listed allergy to medication/component of medication prescribed
[DRUG_NAME]. Please advise: To fill as is, send denial to this request with
note stating reason fill is acceptable. If med should not be filled, Cancel Rx
and send replacement.