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Money will never be withdrawn from a covered entity’s bank account as part of a reversal.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.
- You are able to reverse discount requests from the Discount Requests page by selecting the row for the request and clicking Reverse within the drawer.
- Reversals can also be initiated for requests that are presented on Remittance.
When you have clicked Reverse for a given request, the following window confirms the action about to be taken.
- You are also able to click Correct and Resubmit to reverse the given request and replace it. The window below is presented to the user when this action has been selected.
You are also able to select multiple requests to reverse.
- Requests that have already been reversed show a reversal indicator next to their status. Requests with an associated reversal cannot be reversed again (nor corrected and resubmitted).
- Failed requests cannot be reversed. They can only be corrected and submitted.