| DESCRIPTION OF ENHANCEMENTS |
There are multiple variables used for determining whether a patient will
be billed copay in Outpatient Pharmacy (i.e. Supply Item, Investigational
Drug, Nutritional Supplement, service connection, environment indicators,
IB billable flags, etc.). They are used separately or in conjunction
with one another to determine if the prescription is billable. For the
Domiciliary patients, IB has a specific check for Domiciliary and returns
the exempt status; however, OP did not have one of three flags defined
correctly to exempt prescriptions from copay.
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