What information do I need to fill out on the Cataramaran Fax Order form?
You will need to provide detailed information about both the member and the prescriber. This includes the cardholder ID, name, and contact details. For the prescriber, you must include their name, fax number, and any relevant identification numbers, such as NPI and DEA numbers if applicable. Additionally, you'll need to fill in the patient's name, date of birth, and the specifics of the prescription, including the drug name, strength, quantity, directions, and refills.
Can I use this form for controlled substances?
This form is not intended for CII prescriptions. However, it can be used for CIII to CV prescriptions, provided that the prescriber includes the DEA number. Make sure to follow all state and federal regulations when prescribing controlled substances.
What should I do if I want a brand-name medication?
If a brand-name product is necessary, the prescriber must handwrite "brand necessary" or "brand medically necessary" on the form. This step is crucial for ensuring that the pharmacy dispenses the correct medication as per the prescriber’s intention.
How do I submit the completed form?
The completed form should be faxed to 1 866 996-4921 from the prescriber's secure fax line. It is important to fax the form without a cover sheet to maintain confidentiality and comply with HIPAA standards. Incomplete forms can lead to processing delays, so double-check all entries before sending.
What if I have questions while filling out the form?
If you have questions or need assistance while completing the form, you can call 1 866 834-0449. They have dedicated support available Monday through Friday from 9:00 am to 8:00 pm Eastern Time. For inquiries related to allergies or medical conditions, press option 5 during the call.
Is there a way to ensure the privacy of the information submitted?
Yes, Catamaran Home Delivery's fax machines are secure and comply with HIPAA privacy standards. The information you provide is confidential and intended solely for the use of the named addressee. If you receive the form in error, you should notify Catamaran Home Delivery immediately to avoid any unauthorized dissemination of information.
What happens if I don't fill out the form completely?
Incomplete forms will cause delays in processing. It is essential to ensure that all required fields are filled out accurately. This includes the prescriber’s information, patient details, and specifics about the prescription. Taking the time to complete the form correctly will facilitate a smoother process for obtaining the medication.