Reversing a request allows you to inform the manufacturer that you should not be paid a discount for the request. This might occur if the patient never came to pick up their prescription after you filled it, or if you determine later that the dispensation was not 340B-eligible.
The timing of the reversal depends on the status of the original discount request. If you submit the reversal in the same period as the original request, the manufacturer will never see the transaction and no payment/credit will be invoiced. In essence, the original request is cancelled.
If the original request has already been sent to the manufacturer, a newly submitted reversal will be pending until the manufacturer completes review of the original request. As such, you may be paid for the original request, and then, in the subsequent period, the manufacturer will receive a credit of equal amount for the reversal. More details can be found on this in the “Reversal Timeline” section below.
Money will never be withdrawn from a covered entity’s bank account as part of a reversal. If money is owed back to the manufacturer as a result of a reversal, it will be effectuated in the form of a credit that is deducted from the next payment made by that manufacturer to your covered entity.
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You are able to trigger reversals of requests through the file upload. The reversal request in a file upload is identified by a negative value in the Units field. As long as the reversal row matches an existing request, the existing request will be reversed.
Example: Reversal row in the file upload.
- File uploaded and submitted successfully.
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Request has been reversed (is now displayed in the Reversals page).
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Note that the reversal matching criteria is:
- ID Code
- Discount Program
- NDC11
- Fill Date
- Rx Number
- Units (negative)
- Provider NPI
These are the only fields that are taken into consideration (for matching purposes) when a reversal is submitted through file upload.