The Newfoundland and Labrador Prescription Drug Program Provider Guide is intended to provide supplementary information to assist Providers with submitting claims to the Newfoundland and Labrador Prescription Drug Program.

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• Disclaimer

Table of Contents

1. Definitions
2. Introduction
3. Contact Information
4. Privacy Information
5. Administration
6. Program Plans
7. Benefits and Exclusions
8. Pricing Procedures
9. Billing the Program Plans
10. Program Claiming Policies (New)
11. NLPDP Copayment
12. Audit
13. Appendicies
    • Appendix A – Consent
    • Appendix B – Participation Agreement
    • Appendix C – Drug Benefit Review Process
    • Appendix D – Special Authorization Criteria
    • Appendix E – Response Codes and DUR Messages
    • Appendix F – Adjudication Claim Submission Fields
    • Appendix G – Product Identification Numbers
    • Appendix H – NLPDP Business Rules
    • Appendix I – PANL Contract
    • Appendix J – Medication Review Forms
    • Appendix K – Refusal to Fill Form
    • Appendix L – SaferMedsNL Follow-up Form

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