Data Pkg 23 - Paid Claims and Rejects - MHS GENESIS.xlsx

XLSX spreadsheet 185 KB Posted Dec 2, 2019

Attached to: DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5) Federal contract opportunity
Solicitation number: HT940220R0002
Issued by: Defense Health Agency

About this file

Written by GovTribe AI · Dec 28, 2023

This draft request for proposals concerns the TRICARE Pharmacy Services, 5th Generation contract. The Defense Health Agency intends to award an 18-month base contract with seven 1-year option periods to provide pharmacy services under TRICARE. Services will include retail pharmacy networks, specialty pharmacy, care coordination, and compounded medications. The agency estimates issuing a solicitation in mid-2020 and requests industry feedback on sections involving statements of work, specialty pharmacy, retail network access, compounded medications, care coordination, patient safety notifications, and quality control by January 17, 2020. An information session on the draft RFP will be held on December 11, 2019. The agency anticipates the contract will have fixed unit prices and run for up to 9 years if all options and extensions are exercised.

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Other files for this federal contract opportunity

Other files attached to DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5), newest first.
File	Type	Posted
QA CAS Applicability Specific Clauses (May 15 2020).pdf	PDF	May 15, 2020
Responses to Industry on Revised Draft Section C 20200504.pdf	PDF	May 4, 2020
TPharm5 - Overview of Changes to Draft Section C.DOCX	DOCX document	Apr 6, 2020
DHA Responses to Industry on Draft RFP 20200318.pdf	PDF	Mar 18, 2020
Data Pkg 13 - MTF Claims Volumes by Site.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-3 Specialty Reimbursement for Use in Determining Incentiv....docx	DOCX document	Dec 2, 2019
Attachment L-9 Benefit Design Document_TPharm5.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-2 Retail Network Reimbursement Table.docx	DOCX document	Dec 2, 2019
TPharm5 Draft RFP READ FIRST 20191202.docx	DOCX document	Dec 2, 2019
Tpharm5 Draft Section G 20191202.docx	DOCX document	Dec 2, 2019
Attachment L-8 MMC Sample File.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-9.8 PA_ST_QL List.XLSX	XLSX spreadsheet	Dec 2, 2019
Attachment L-4 Negotiated Specialty Retail Replenished Dispensing Fees.docx	DOCX document	Dec 2, 2019
Attachment L-9.9 Fluoride Products List.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-12 IHS_Pharmacy_Listing_2019.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 15 IHS_Pharmacy_Claims_Volume_2017_&_2018.xlsx	XLSX spreadsheet	Dec 2, 2019
TPharm5 Draft Section E 20191120.docx	DOCX document	Dec 2, 2019
TPharm5 Draft Section D 20191120.docx	DOCX document	Dec 2, 2019
Attachment L-1.1 List of Data Packages.docx	DOCX document	Dec 2, 2019
Attachment L-19 Past Performance Questionnaire Template Tab F 20191120.docx	DOCX document	Dec 2, 2019
Data Pkg 7 Specialty Drug Utilization, Retail and Mail.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 14 Retail Claims with COB.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment J-5 TPharm5 Award Fee Plan 20191122.docx	DOCX document	Dec 2, 2019
Data Pkg 5 MOP Utilization by Drug.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 22 - Paid Claims and Rejects - Retail.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 24 - CHCBP Volume.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-9.6 Self-Admin Injectables List.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-9.7 Expanded Use of MTF and TMOP List.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-18 CDRL Supplemental Bid Schedule.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-1 Ordering Instructions for Data Files not on SAM.gov.docx	DOCX document	Dec 2, 2019
TPharm5 Draft Section L 20191202.docx	DOCX document	Dec 2, 2019
Data Pkg 25 - OHI Development.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-9.5 Non-Formulary List.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 9 Customer_Service_Volume.xlsx	XLSX spreadsheet	Dec 2, 2019
Data Pkg 16 VA_VA CHDR Volume.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment J-2 Acronym List.docx	DOCX document	Dec 2, 2019
Attachment J-3 Website Links.docx	DOCX document	Dec 2, 2019
Attachment L-5 Guaranty_Agreement.pdf	PDF	Dec 2, 2019
Attachment L-7 Teaming Subcontractor Consent Ltr.docx	DOCX document	Dec 2, 2019
Attachment L-9.3 Covered OTCs - Purchased Care.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-19.1 PPI Tool Instructions.docx	DOCX document	Dec 2, 2019
Data Pkg 3 TRICARE Retail Pharmacy Claim Volume.xlsx	XLSX spreadsheet	Dec 2, 2019
TPharm5 Draft Section C 20191202.docx	DOCX document	Dec 2, 2019
Data Pkg 6 - MOP Utilization.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-13 VA_Pharmacy_Listing_2019.xlsx	XLSX spreadsheet	Dec 2, 2019
Attachment L-1.2 Non-Disclosure Agreement.docx	DOCX document	Dec 2, 2019
Data Pkg 21 Enrolled Beneficiary Population.xlsx	XLSX spreadsheet	Dec 2, 2019
TPharm5 Draft Section H 20191121.docx	DOCX document	Dec 2, 2019
Data Pkg 10 - Compound Utilizers.xlsx	XLSX spreadsheet	Dec 2, 2019
TPharm5 Draft Section I 20191120.docx	DOCX document	Dec 2, 2019

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Title: MTF MHS Genesis Prescription Workload Paid & Rejected RXs

Date Range: 3/1/2017 12:00:00 AM - 8/31/2019 12:00:00 AM

					Month	03/31/17		04/30/17		05/31/17		06/30/17		07/31/17		08/31/17		09/30/17		10/31/17		11/30/17		12/31/17		01/31/18		02/28/18		03/31/18		04/30/18		05/31/18		06/30/18		07/31/18		08/31/18		09/30/18		10/31/18		11/30/18		12/31/18
Report ran against Date Dispensed					Claim Status	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected	Paid	Rejected
Site MTF	Pharmacy Name	NPI #2	Reject Code 1	Reject Code 2	Reject Code 3	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs	# of RXs
FAIRCHILD	FAIRCHILD MAIN PHCY 92ND MDG	1477652519				6,232		5,589		7,449		8,232		7,571		9,438		7,923		9,426		9,602		8,209		10,834		9,790		10,857		10,463		11,437		10,790		10,860		11,247		10,509		11,277		10,716		9,769
		1477652519	19	EP	RG																		1										1
		1477652519	19	HF	EP																		2		1								1						8		1						5
		1477652519	22				3		1		1		1		5		1		5		1		1		6		1		3		4		7		7		10		10		8		7		10		7		2
		1477652519	25				46		53		42		48		31		27		21		37		15		9		8		15		23		18		19		23		18		9		18		20		75		6
		1477652519	25	2N																			1						2								1				1
		1477652519	2N						19		2				10		25		2				4		1		1								1				4						9		1		2
		1477652519	40
		1477652519	54				16		7		2		20		12		5		8				3		3		15		31		27		19		25		20		12		14		11		16		12		18
		1477652519	70				5		10		6		2		3		4		5		8		3		1		4		10		7		50		5		6		5		7		6		6		8		14
		1477652519	73										4				2
		1477652519	75				151		124		72		60		118		143		293		242		101		101		118		104		129		126		132		156		115		189		159		192		138		84
		1477652519	76				129		73		118		121		95		133		67		137		115		79		98		92		131		72		102		118		60		87		83		88		92		69
		1477652519	77				12				9		22		8		20		19		24		17		9		2		5		3		8		4		6		15		5		27		6		7		12
		1477652519	78				1												17		1		2				1				1		7		1		1		1										8
		1477652519	79				560		426		489		383		275		335		206		251		225		143		228		135		201		174		212		175		139		170		162		179		125		109
		1477652519	7D																																2				6
		1477652519	7J								3		2		1		1		1		1				1						1				1
		1477652519	7X						3						7		1		2		1		3		12				10				2		6		8		2		9		5		5		7		6
		1477652519	81				1
		1477652519	88				136		134		167		201		122		139		157		116		114		66		151		73		108		130		125		117		114		107		128		161		130		167
		1477652519	8K
		1477652519	9E				8		12		1		26		14		5		2		3		5		6		13		1		2		5		6				5		6		1				2		4
		1477652519	9G														4						2										1												2				1
		1477652519	A1
		1477652519	AB																																														1
		1477652519	E4								3		5		1												3						1		3										2		5		2
		1477652519	E4	E5			1						6						2
		1477652519	E4	E6							1												1																2										1
		1477652519	E5																2														1
		1477652519	E5	E6			4		1				2				2																2		1
		1477652519	E6										1										1										1												1
		1477652519	EV				3				1																		1
		1477652519	HF	EP	RG
		1477652519	HG																																1
		1477652519	M2				5		5		1		6		2				6		13		5		6		4		2				1				1		1						1
		1477652519	PV																																												1
		1477652519	RM																								1
FAIRCHILD	FAIRCHILD MAIN PHCY 92ND MDG				Sum:	6,232	1,081	5,589	868	7,449	918	8,232	910	7,571	704	9,438	847	7,923	815	9,426	835	9,602	621	8,209	444	10,834	648	9,790	484	10,857	637	10,463	627	11,437	653	10,790	642	10,860	517	11,247	613	10,509	607	11,277	698	10,716	615	9,769	506

	FAIRCHILD REFILL PHCY	1275632317			3	28
		1275632317	25				3
		1275632317	76				6
		1275632317	M2				4
FAIRCHILD	FAIRCHILD REFILL PHCY			Sum:	3	28	13

	FAIRCHILD SCM PHCY	1205102761		1
FAIRCHILD	FAIRCHILD SCM PHCY		Sum:	1

FAIRCHILD MTF RX & Reject Total: 6,236 1,081 5,617 881 7,449 918 8,232 910 7,571 704 9,438 847 7,923 815 9,426 835 9,602 621 8,209 444 10,834 648 9,790 484 10,857 637 10,463 627 11,437 653 10,790 642 10,860 517 11,247 613 10,509 607 11,277 698 10,716 615 9,769 506 11,899 652 9,296 449 11,467 537 11,305 579 11,313 571 11,258 468 11,487 501 10,869 931

OAK HARBOR	OAK HARBOR PHCY	1184723223				2,539		6,375		6,508		7,047		6,961		6,876		8,246		6,816		8,683		7,642		8,144		7,846		7,105		7,773		7,566		8,083		7,039		6,101		8,320		6,075		8,004		8,008
		1184723223	12
		1184723223	19				3										3		5				1				2						2										2
		1184723223	19	E4	E5														1
		1184723223	22						2				3		7		3		3				1		2		5						1		1				1				3		5		4		1
		1184723223	23	DU									1						1										1																		1
		1184723223	25				34		57		38		27		17		13		15		15		10		14		11		17		21		42		15		8		10		16		15		4		26		10
		1184723223	2N				4		2		2						1		1				1				1		1				1				1		1				1						1
		1184723223	54						2				1						14		2		2		11						1				2
		1184723223	70				2		1		1				5								4		4		1		6		1		5		3								1		3		1
		1184723223	70	70																					4
		1184723223	73				3						5				11
		1184723223	75				11		117		73		69		121		223		118		115		107		99		80		94		59		70		98		114		81		107		153		93		73		118
		1184723223	76				45		88		107		91		70		94		96		73		82		49		65		59		52		28		48		64		47		58		60		52		94		30
		1184723223	77				2		3		28		30		5		6		13		7		17		9		14		6		12		15		10		7		3		5		15		9		20		12
		1184723223	78								3		1												5				1		1		2				4		3		1
		1184723223	79				178		385		365		358		329		262		283		211		292		218		213		251		97		124		115		96		115		102		133		114		103		101
		1184723223	7D																																								4						3
		1184723223	7X						2		11				12		13						3		3		7		1		2		12		2		3		4		2		5		2		3		2
		1184723223	88				92		176		120		127		143		156		181		162		164		129		154		146		105		151		130		119		105		87		141		88		134		123
		1184723223	8E										2		1				1
		1184723223	8K																								1
		1184723223	9E				15		9		2		5		2		8		1				2		3		1		5		4		7				1		6		1		2		1
		1184723223	9G								1				1																		2								1
		1184723223	BB																1		1
		1184723223	E1	21	E2				3
		1184723223	E2																				1												1		1												1
		1184723223	E4						5		1		7				4						1		3				1								1		1						2		1		1
		1184723223	E4	E5			3						1								1												1				4				1				2		1
		1184723223	E4	E6					2				2														3		1		1												3
		1184723223	E5																																1				3				1
		1184723223	E5	E6					3						2		1						1		1												1
		1184723223	E6								1												1				1												1		2				1
		1184723223	EP																																												1
		1184723223	EV																										2
		1184723223	HG				3				1		5		1		2				1		7				3		2		2		4		2		1		1		10						2		4
		1184723223	M2				2								2				4		2				2								5		5														2
		1184723223	PV						3		17		20		7		20		20		2		11		25		6		8		9		6		1		1		2		4		2		1		4
		1184723223	RM				1		8		2				2		1		1				1				3				1
		1184723223	RN																9				1								1																1
OAK HARBOR	OAK HARBOR PHCY				Sum:	2,539	398	6,375	868	6,508	773	7,047	755	6,961	727	6,876	821	8,246	768	6,816	592	8,683	710	7,642	581	8,144	571	7,846	602	7,105	369	7,773	478	7,566	434	8,083	426	7,039	384	6,101	397	8,320	541	6,075	377	8,004	469	8,008	409

	DOD OAK HARBOR EPHCY	1518387836				2	55		163		592		979		1,355		1,857		1,856		2,283		2,675		2,895		3,166		3,463		3,631		3,226		3,639		3,138		3,166		3,838		3,186		3,328		3,514		3,443
		1518387836	25																									5				4
		1518387836	70																					2
		1518387836	75																	1										1		9		6		6		1		4		5		7		6
		1518387836	76							1		2		2		4		16		10		8		19		20		5		19		10		4		9		14		9		5		12		15		4
		1518387836	77					3		2				2				9				2		1		6				5		4		15		6		1		3		2		3
		1518387836	79					1				10		9		2		5		5		8		5		11		2		8		4		3		7		7		8		4		5		7		15
		1518387836	7X																	1		1		1
		1518387836	88									1		11		8		23		24		11		13		13		19		23		40		27		22		19		10		14		13		24		17
		1518387836	E4																																											1		1
		1518387836	E4	E5																																										6
		1518387836	E5	E6																																						1
		1518387836	E6
		1518387836	E6	E4																																				5
		1518387836	M2																																											1
		1518387836	PV					1																								2		1						1
OAK HARBOR	DOD OAK HARBOR EPHCY				Sum:	2	55	5	163	3	592	13	979	24	1,355	14	1,857	53	1,856	41	2,283	30	2,675	41	2,895	50	3,166	31	3,463	56	3,631	73	3,226	56	3,639	50	3,138	42	3,166	40	3,838	31	3,186	40	3,328	60	3,514	37	3,443

OAK HARBOR MTF RX & Reject Total: 2,541 398 6,430 873 6,671 776 7,639 768 7,940 751 8,231 835 10,103 821 8,672 633 10,966 740 10,317 622 11,039 621 11,012 633 10,568 425 11,404 551 10,792 490 11,722 476 10,177 426 9,267 437 12,158 572 9,261 417 11,332 529 11,522 446 11,852 492 10,694 413 10,608 319 9,633 824

BREMERTON	BREMERTON NH PHCY	1811096852				1	6		6		2,166		13,018		12,597		14,983		19,379		18,684		24,317		23,451		25,970		26,013		26,664		28,198		26,965		30,560		26,921		26,080		31,270		24,858		30,899		29,829
		1811096852	19																													1
		1811096852	19	HF	EP																	1												2
		1811096852	1V																															1												2
		1811096852	1W															3		3				2		2		2				1		2
		1811096852	22									2		14		2		7		3		6		12		4		13		4		9		4		7		14		3		5		2		1		1
		1811096852	22	25																				1
		1811096852	23																																	3						1
		1811096852	25									40		75		50		51		25		33		16		11		34		18		49		21		60		37		77		32		17		11		14
		1811096852	25	2N										1																1
		1811096852	2N									2		12				10		1		2						1		2		1		1				6				1		1
		1811096852	40																																					3
		1811096852	54									13		55		43		25		51		41		53		52		40		41		34				1		1				1		1
		1811096852	60																											1
		1811096852	61									1		2		1		2		3		5		4		1				1				1				1						1
		1811096852	70									5		44		32		33		27		20		91		109		56		47		26		27		26		18		23		22		33		32		30
		1811096852	70	54																1		1										1																1
		1811096852	70	70																										1								1		1		1						1
		1811096852	70	70	70							2										1		4		1		1				1		1		3		2		1				2				1
		1811096852	70	77										1																				1				1		2								1
		1811096852	73											3				3		1				1																		1		1		2
		1811096852	75									15		141		110		102		95		120		208		193		194		140		147		257		184		206		165		151		359		118		306
		1811096852	76									24		135		132		158		242		225		220		172		174		225		155		190		156		156		149		114		130		110		116
		1811096852	77									11		21		34		14		16		8		27		125		7		5		7		14		108		287		93		22		49		54		128
		1811096852	78									4						1		3		18				22		19		8		4		5		2		4		15		2		1		12		11
		1811096852	79					2		1		140		756		712		768		1,051		820		1,034		786		751		629		486		433		290		268		208		129		204		156		188
		1811096852	7D																							26						3						13		20		9		8		12		8
		1811096852	7J																							2				2		1		2				1				3		5		1		2
		1811096852	7X													16		26		6		17		18		19		13		9		19		3		12		22		14		17		9		5		10
		1811096852	87																																			7
		1811096852	88									83		280		263		260		327		360		396		287		297		301		227		321		256		378		405		299		452		367		455
		1811096852	88	88	88																			4
		1811096852	8E									4		3		1		1
		1811096852	8K											1																								3
		1811096852	9E									4		17		24		21		11		6		5		27		14		3		5		4		10		3				3		2		6		4
		1811096852	9G													1								1																				3
		1811096852	AB													3
		1811096852	BB																	14
		1811096852	CP													6						4
		1811096852	E1	1W	21													4		1				2		2		1				2		2										1
		1811096852	E1	21	6T									2				1		2												1		1												1
		1811096852	E1	21	E2									2		6		2		1		6		2		2		2				1		1				3		1				2		2
		1811096852	E2									8				5		4		3		5		6		5		10		5		7		5		4		8		14		1		4		1		2
		1811096852	E2	23														1
		1811096852	E2	61	23																	1						2		1								1		1						2		1
		1811096852	E4									10		13		9		10		6		6		5		3		1				2		7		7		7		25		6		2		6		4
		1811096852	E4	E5										3		2										2						2				2		1				1						1
		1811096852	E4	E6								5		5		2		1				3								2		1		3				3		2		3						1
		1811096852	E5													1		2		1				2						1						3				2		1
		1811096852	E5	E6								2		6		2		4				3		1								3		3		1				1		3		3		4		17
		1811096852	E6									2		2								7		10		1		3								2		1				2				4		1
		1811096852	EF									1
		1811096852	EU													1																				2				2						4
		1811096852	EV											6		14				3																		1										1
		1811096852	HF	HG	EP																													1
		1811096852	HG																											2				1		2		1				1
		1811096852	M2													2		2		3				2		2						1		5		4		6		5		4		10
		1811096852	PV																											6		2						5
		1811096852	RM																																			8
		1811096852	RN
BREMERTON	BREMERTON NH PHCY				Sum:	1	6	2	6	1	2,166	378	13,018	1,600	12,597	1,474	14,983	1,516	19,379	1,900	18,684	1,719	24,317	2,127	23,451	1,856	25,970	1,635	26,013	1,455	26,664	1,199	28,198	1,319	26,965	1,145	30,560	1,474	26,921	1,232	26,080	835	31,270	1,302	24,858	913	30,899	1,305	29,829

	BREMERTON NS PHCY	1861599623			1	29		66		95		163		194		229		252		249		249		307		277		296		410		372		316		503		333		347		305	324		322		283		304
		1861599623	25																		1
		1861599623	54																																						1
		1861599623	70														2		1		1				1						1
		1861599623	73																																				1
		1861599623	75																						1		8		3		1				1				1		1			1		1
		1861599623	76						2				3										2		2		1						1				1		1					2		1
		1861599623	77																								2		4				4		1		1		1		1							1
		1861599623	79				2						10		1		6		1		3												1
		1861599623	88								2				5		4		3		2		3		5		1		2		6		3		1		3				2			4				1
		1861599623	E4																								2
		1861599623	E5																						4
BREMERTON	BREMERTON NS PHCY			Sum:	1	29	2	66	2	95	2	163	13	194	6	229	12	252	5	249	7	249	5	307	13	277	14	296	9	410	8	372	9	316	3	503	5	333	4	347	5	305	324	7	322	2	283	2	304

	DOD BREMERTON EPHCY	1750704631					10
		1750704631	E2	25		1
BREMERTON	DOD BREMERTON EPHCY				Sum:	1	10

BREMERTON MTF RX & Reject Total: 1 6 2 6 1 2,167 378 13,047 1,602 12,663 1,477 15,078 1,518 19,542 1,913 18,888 1,725 24,546 2,139 23,703 1,861 26,219 1,642 26,262 1,460 26,971 1,212 28,475 1,333 27,261 1,154 30,970 1,482 27,293 1,241 26,396 838 31,773 1,307 25,191 917 31,246 1,310 30,134 1,147 30,400 1,205 28,880 1,040 29,660 1,182 28,256 2,283

EVERETT	EVERETT PHCY	1952408718				578		2,586		2,648		3,118		4,082		3,616		5,164		4,539		4,868		5,047		5,344		5,462		4,674		5,652		5,305		4,869		6,238		4,751		5,859		5,625		5,812		5,218
		1952408718	19						9				1		3				2		4
		1952408718	22				1						1				2								1				1						1						5		1		1				2
		1952408718	23	DU													1
		1952408718	25				13		27		12		10		18		10		4		3		2		6		14		40		10		3		6		5		7		3		7		16		15		3
		1952408718	2N				1		1		3		3		1						1		3						6																		3
		1952408718	54						1		3		1		1		8		9		7				2		4																1		1
		1952408718	61												1				2																				1		2
		1952408718	70				1		1		3								1				3		2				3				1		8		2		2		9		7				10		1
		1952408718	73																												1
		1952408718	75				5		31		15		21		20		5		27		32		29		15		24		24		14		15		28		25		29		17		18		19		39		42
		1952408718	76				5		19		12		18		45		25		31		35		19		23		44		26		40		41		21		15		18		35		16		23		41		9
		1952408718	77				6		12		3		3		10		7		4		22		6		4				11		26		8		2		7		16		14		25		21		15		93
		1952408718	78																																				1		1		1
		1952408718	79				61		140		120		114		128		154		159		132		109		115		101		85		86		56		61		33		44		38		58		51		70		76
		1952408718	7D																														9		3		2						5				2
		1952408718	7J																																		1
		1952408718	7X								2		6				4		4		3		1		2		2		4				3		1		4		1		2		2		3
		1952408718	88				25		41		47		55		44		39		82		48		73		48		96		91		67		101		78		67		87		85		98		85		150		69
		1952408718	9E												1						4								1		1				2		1		3						2		1
		1952408718	E4								1						1		1		1		10						1				1		3		1		1
		1952408718	E4	E5																													1				1		1
		1952408718	E4	E6					2														7								1		1								1						1
		1952408718	E5								1																												2
		1952408718	E5	E6													1										3																		1
		1952408718	E6																														1		1		3								4				2
		1952408718	EU												1						1
		1952408718	EV												1						2
		1952408718	HF	EP	RG
		1952408718	HG										2		1		1		1
		1952408718	M2												17
		1952408718	M2	61											1
		1952408718	PV										1		2		3		5		27		3		1
		1952408718	RM								2		2						2
EVERETT	EVERETT PHCY				Sum:	578	118	2,586	284	2,648	224	3,118	238	4,082	295	3,616	261	5,164	334	4,539	322	4,868	265	5,047	219	5,344	288	5,462	293	4,674	246	5,652	241	5,305	215	4,869	167	6,238	213	4,751	212	5,859	239	5,625	227	5,812	347	5,218	297

EVERETT MTF RX & Reject Total: 578 118 2,586 284 2,648 224 3,118 238 4,082 295 3,616 261 5,164 334 4,539 322 4,868 265 5,047 219 5,344 288 5,462 293 4,674 246 5,652 241 5,305 215 4,869 167 6,238 213 4,751 212 5,859 239 5,625 227 5,812 347 5,218 297 6,305 260 6,907 542

SILVERDALE	SILVERDALE BANGOR PHARMACY	1043317803				242		1,602		1,870		2,062		2,683		2,208		2,901		2,257		2,379		2,271		2,062		2,150		1,797		2,337		2,037		1,759		2,270		1,838		2,365		2,408		2,321		1,945
		1043317803	19																																										2
		1043317803	22																																								1
		1043317803	25				8		1		1		5				1		8				7		3		2		1		2				1				5				17
		1043317803	2N						4		1												2				1																						1
		1043317803	54						1						3		2						1		1										1		2		2				2		2		2
		1043317803	61																1
		1043317803	70						4		5		1		1		3		7		9		4		5				2		1		2		5		2				7		4		7		9		2
		1043317803	75						11		12		15		20		2		41		12		9		17		17		20		3		16		11		6		19		9		11		20		20		20
		1043317803	76				1		7		6		19		12		7		7		5		1		6		12		3		3		4		9		5		4		2				3		6		2
		1043317803	77				4		6		15		5		1				12		8		5		2		1		2		2		5		7		7		1		5		5		10		19		20
		1043317803	79				17		50		25		45		39		27		33		30		22		12		13		14		8		9		5		4		3		7		15		5		8		6
		1043317803	7J												1														2						1						1				1		1
		1043317803	7X								3								1																		1		1		1
		1043317803	88				6		30		39		36		25		15		40		26		25		8		12		18		11		10		15		15		36		38		25		23		30		26
		1043317803	9E						1		4		2		1						5
		1043317803	E4																																												3
		1043317803	E5																																												1
		1043317803	E5	E6																																					1						4
		1043317803	E6
		1043317803	HG
SILVERDALE	SILVERDALE BANGOR PHARMACY				Sum:	242	36	1,602	115	1,870	111	2,062	128	2,683	103	2,208	57	2,901	150	2,257	95	2,379	76	2,271	54	2,062	58	2,150	62	1,797	30	2,337	46	2,037	55	1,759	42	2,270	71	1,838	71	2,365	80	2,408	73	2,321	103	1,945	77

SILVERDALE MTF RX & Reject Total: 242 36 1,602 115 1,870 111 2,062 128 2,683 103 2,208 57 2,901 150 2,257 95 2,379 76 2,271 54 2,062 58 2,150 62 1,797 30 2,337 46 2,037 55 1,759 42 2,270 71 1,838 71 2,365 80 2,408 73 2,321 103 1,945 77 1,656 55 1,778 175

FT. LEWIS	LEWIS MAIN PHCY	1619076650					6,702		29,035		31,934		40,889		39,535		48,408		46,034		51,155		51,295		50,807		56,567		52,416		59,507		55,027		52,985		60,262		51,271		60,884		57,954		59,385		55,813		57,425
		1619076650	19																							2				1
		1619076650	19	EP	RG																																			1
		1619076650	19	HF	EP																					1										4								1
		1619076650	1W																	1
		1619076650	21											2		3		4
		1619076650	22					11		22		10		9		13		7		4		8		6		3		8		7		4		3		4		2		4		5		5		5		8
		1619076650	23					1		1				3		1
		1619076650	23	23				3
		1619076650	25					145		93		90		51		62		52		27		45		52		56		21		33		58		31		41		40		62		56		98		49		27
		1619076650	25	2N								1																												1
		1619076650	2N							4		5		6		6		2		1		7		1		8		4		7		2		7		1		7		3		4		14		2		2
		1619076650	2N	25								1														1
		1619076650	40																							1								4												14
		1619076650	54					7		38		21		29		14		28		39		29		15		15		14		11		9		15		90		44		11		18		7		2		9
		1619076650	61					2		3		5		15		5		18		2		3		6		10		5		3		7		4		3		2				8		3				3
		1619076650	61	23						1				1
		1619076650	61	23	61									2														1		1
		1619076650	70					25		129		85		75		100		92		99		117		98		102		75		52		68		91		95		88		64		103		119		151		118
		1619076650	70	54														1																				1
		1619076650	70	70						2		4		8		4						4		1		2		7		5		11		3		3				1				3		4		1
		1619076650	70	77														4
		1619076650	71					8		6		1				1		7		1		5		2		2						1						2								1		13
		1619076650	73					8		7		6		1						4																9				1		2		1		1		1
		1619076650	73	73	73
		1619076650	75			1		63		230		285		298		266		313		260		310		283		304		355		373		354		291		259		347		252		349		332		422		350
		1619076650	75	75	75																																									3
		1619076650	76					97		345		385		475		362		392		283		349		325		318		294		264		234		243		246		303		247		298		304		259		199
		1619076650	76	76	76																																									5
		1619076650	77					33		40		35		26		28		75		102		84		45		53		264		100		211		82		101		141		98		281		481		734		969
		1619076650	78					2		11		8		5		17		4		44		17		5		4		11		16		9		4		11		10		9		9		17		15		3
		1619076650	79					477		1,828		1,583		1,758		1,723		1,884		1,586		1,490		1,186		1,059		966		560		494		356		282		309		260		354		288		483		333
		1619076650	79	79	79					2		1
		1619076650	7D																			7		1		1		1		7		22		18		20		22		11		23		7		2		1
		1619076650	7J							5		14		22		12		18		16		22		18		25		19		13		22		15		17		21		12		21		16		23		21
		1619076650	7W											9														4		4
		1619076650	7X							35		42				44		56		48		29		30		25		26		31		25		28		23		14		30		39		22		28		27
		1619076650	81							13		10		7		8		1		9		21		4		4
		1619076650	88					121		561		443		555		451		485		445		529		508		368		457		421		533		422		415		623		497		627		569		741		517
		1619076650	88	88										4				2								1																		2
		1619076650	89	79
		1619076650	8E					1		9		27		22
		1619076650	8K									1		1										1
		1619076650	9E			1		12		41		19		9		2		2		17		10		16		13		11		6		10		8		9		8		14		11		13		10		8
		1619076650	9G																					3		1										1										2
		1619076650	A1																																					1
		1619076650	AB																									1
		1619076650	BB							2		4																																		1
		1619076650	CP																					6														1
		1619076650	CP	2N																										3
		1619076650	CP	2N	25																									2
		1619076650	E1	1W	21															1
		1619076650	E1	21	6T									1																														1
		1619076650	E1	21	E2									3				2		2						1		3				1		2				1				1
		1619076650	E2					4		10		15		15		10		7		18		13		5		12		12		8		14		13		6		17		8		5		8		11		11
		1619076650	E2	23																3		4		3												1
		1619076650	E2	61	23															1						1				3																1
		1619076650	E4					6		17		8		13		9		6		9		6		12		3		6		5		4		5		2		21		10		10		4		12		12
		1619076650	E4	E5				6		1				4				1				2		1		2		7		5		2		1		1		4				1						1
		1619076650	E4	E6				1		1		1		7						3		3		4				5				1		1				1				2				2		2
		1619076650	E5					1		3		5				3		1		1										6										3		3		1		2		2
		1619076650	E5	E6				4		14		2		7		2		3		5		2						5		2		1		2		1		6		6		4		9		3		2
		1619076650	E6					1		3		4		1		1		3		2		3		2		1						2		1		5		6		5		4		4		8		3
		1619076650	E6	E4																																										1
		1619076650	E6	E5																				1												1
		1619076650	EF																																	1
		1619076650	EG																									1				3								1
		1619076650	EU															1		2		4				3				1										1
		1619076650	EV					5		2						4				2						2				2		1		2				1		1
		1619076650	EV	E4				3
		1619076650	EZ																													1
		1619076650	G9													2
		1619076650	HF	EP	RG																																									2		2
		1619076650	HF	HG	EP
		1619076650	HG							5																2				1										1								5
		1619076650	M2					1		13		6		8		7		20		11		6		4		5		11		2		1		1		2		1		1		1		1				3
		1619076650	PV																			1																								1
FT. LEWIS	LEWIS MAIN PHCY				Sum:	2	6,702	1,048	29,035	3,497	31,934	3,127	40,889	3,452	39,535	3,160	48,408	3,491	46,034	3,048	51,155	3,130	51,295	2,644	50,807	2,411	56,567	2,594	52,416	1,955	59,507	2,105	55,027	1,653	52,985	1,654	60,262	2,043	51,271	1,616	60,884	2,239	57,954	2,330	59,385	3,000	55,813	2,653	57,425

	LEWIS CBPCC PHCY	1023355823				347		1,659		1,840		2,507		2,679		3,324		3,001		3,731		3,761		3,897		3,916		3,491		4,353		3,698		3,294		4,474		3,444		4,008		4,108		4,131		3,726		4,038
		1023355823	22				1		1				1										1
		1023355823	25				5		5		5		1								4						1				2		1		1		2				4								1
		1023355823	2N				1		2		3																				1
		1023355823	54										3		1		2																		3														2
		1023355823	60																																														3
		1023355823	61																																		1
		1023355823	70				4		8		1		1		1		9		1		5		3		1		2		1		4		2		4		1		1		4		4		1		1		1
		1023355823	71						1
		1023355823	73								3
		1023355823	75				1		5		8		9		18		15		22		7		7		19		13		17		23		27		15		25		26		39		37		31		23		15
		1023355823	76				2		6		3		32		16		6		6		14		12		20		8		6		10		22		19		12		8		12		16		7		12		16
		1023355823	77						1		2		1		4		5		8		7		1				10				5		2		7		6		6		12		15		29		29		44
		1023355823	78												1						1				1		1		38														1
		1023355823	79				21		59		84		67		66		62		57		85		58		60		46		30		38		19		19		23		14		14		21		9		5		17
		1023355823	7D																												4								8		2
		1023355823	7J										1																		1						1				1
		1023355823	7X						2		1				3		1		1				1		2				2		2						2										2
		1023355823	88				4		11		10		7		11		15		6		14		11		9		16		4		24		12		8		24		15		17		24		31		16		13
		1023355823	9E								1								1																		1
		1023355823	9G														1
		1023355823	E4				1		1								2								1																2
		1023355823	E4	E5																							1
		1023355823	E4	E6																																													1
		1023355823	E5	E6							2																										1						1
		1023355823	E6																																		1						1
		1023355823	E6	E5																																							1
		1023355823	HG																																				1
FT. LEWIS	LEWIS CBPCC PHCY				Sum:	347	40	1,659	102	1,840	123	2,507	123	2,679	121	3,324	118	3,001	102	3,731	137	3,761	94	3,897	113	3,916	98	3,491	98	4,353	114	3,698	85	3,294	76	4,474	100	3,444	79	4,008	107	4,108	121	4,131	108	3,726	88	4,038	113

	LEWIS NISQUALLY PHARMACY	1134226996				1,219		5,170		5,113		6,913		5,647		7,065		5,871		7,063		6,288		5,937		6,052		5,780		6,691		5,955		5,334		7,436		5,638		7,235		6,801		6,472		6,157		6,222
		1134226996	19																																										1
		1134226996	22						3		3		1		2																		3
		1134226996	25				18		3				1				1						3		2				17		13		1		1		1		1		3				1
		1134226996	2N																										1				1				1		1								1
		1134226996	54												8		11		6				3														3				1						1
		1134226996	61						1				2		2		3		2				1				4		1								1												1
		1134226996	70				3		10		13		14		12		21		20		27		7		11		21		4		15		3		8		7		10		11		7		4		1		8
		1134226996	73								1																																				8
		1134226996	75				10		19		28		26		33		35		31		37		24		30		30		10		29		18		21		38		14		46		40		26		38		32
		1134226996	76				6		34		27		38		38		35		13		8		15		5		20		12		6		3		8		7		9		19		18		10		9		8
		1134226996	77				3		7		4		2		5		10		23		20		9		2		15		3		7		20		28		31		36		42		41		56		27		64
		1134226996	78																1																1
		1134226996	79				56		95		105		87		114		83		42		24		37		45		31		13		4		16		12		18		20		14		13		10		13		16
		1134226996	7D																										6		5		2		6		12				6				8
		1134226996	7J								1		3		3		6				4		2		3		5		3		5		2		1		13		9		12		6		17		6		13
		1134226996	7X								1						2												1				1				1				1								1
		1134226996	81								1
		1134226996	88				11		28		45		22		36		59		47		37		33		30		26		30		35		32		25		46		34		46		59		55		40		59
		1134226996	9E						5		2		1				5
		1134226996	BB										2
		1134226996	E4								3				1				1				2								2																		1
		1134226996	E4	E6																			1
		1134226996	E5						1																																				2
		1134226996	E5	E6																	1												1												1
		1134226996	E6						2
		1134226996	HG																																										1
FT. LEWIS	LEWIS NISQUALLY PHARMACY				Sum:	1,219	107	5,170	208	5,113	234	6,913	199	5,647	254	7,065	271	5,871	186	7,063	158	6,288	137	5,937	128	6,052	152	5,780	101	6,691	121	5,955	103	5,334	111	7,436	179	5,638	134	7,235	201	6,801	184	6,472	192	6,157	144	6,222	203

	LEWIS OKUBO PHCY	1518066653				840		3,021		2,718		4,007		2,719		3,923		3,075		3,349		2,989		2,864		2,854		2,752		3,209		2,778		2,210		3,862		2,792		3,731		3,076		2,798		2,765		3,029
		1518066653	19																2
		1518066653	22																				3				1
		1518066653	25				1				2		1																				2						1		1		1
		1518066653	2N										1
		1518066653	54																2						1				1								2		2								2		1
		1518066653	61				1				9		1				4		1				1						1		1				1								1
		1518066653	70				2		8		3		4				1		2		4		2		1		1				2		3		2		1		2		3				2		2		4
		1518066653	75				3		11		9		12		14		11		12		12		6		10		6		5		6		4		3		7		7		7		12		7		8		14
		1518066653	76				3		11		17		12		9		7		1		1		3		2		4		5		6		6		2		4		2		3		8		5		6		6
		1518066653	77				3				4		2		1		4		7		1		6				6		1		2		3		10		28		13		14		10		18		19		38
		1518066653	79				19		43		32		22		17		9		5		6		17		1		9		4		5		3		1		3		3		5		6		3		1		3
		1518066653	7D																										2
		1518066653	7J						1		1		5		3		1						2				2		3						2		1		2		3		1				4
		1518066653	88				8		9		7		20		12		11		19		17		7		22		9		6		14		6		4		17		11		13		9		16		15		11
		1518066653	E5	E6																					1
		1518066653	E6																						1
		1518066653	HG				2				1		5		3				1
		1518066653	PV								3				4
FT. LEWIS	LEWIS OKUBO PHCY				Sum:	840	42	3,021	83	2,718	88	4,007	85	2,719	63	3,923	48	3,075	52	3,349	41	2,989	47	2,864	39	2,854	38	2,752	28	3,209	36	2,778	27	2,210	25	3,862	63	2,792	43	3,731	49	3,076	48	2,798	51	2,765	57	3,029	77

	MADIGAN PUYALLUP PHCY	1316243744				1	481		2,096		2,490		3,402		3,074		4,093		4,263		4,458		4,584		4,658		4,507		4,329		5,060		4,643		3,756		5,600		4,707		5,262		5,789		5,773		5,255		5,241
		1316243744	22																			1						1																				1
		1316243744	25					12		4		2		2		6		4		6		2		5				3				1		2		2						8		3		4
		1316243744	2N											1								3										6		1												2
		1316243744	54					2		2								2		2						1										1		4
		1316243744	61																															1
		1316243744	70					2		4		1		3		5		5		2		6		3				3		1		1		2		1		3		3		1		5		2		1
		1316243744	71																	1
		1316243744	73																																			4
		1316243744	75					6		19		35		22		20		26		22		21		21		39		21		30		20		19		15		15		19		19		25		48		23
		1316243744	76					7		25		31		49		41		24		11		35		38		25		26		12		37		20		12		20		11		22		31		24		8
		1316243744	77					3		11		3		6		4		25		15		11		6				26		10		25		34		36		29		35		47		36		35		41
		1316243744	79					71		132		114		149		117		185		152		111		96		70		82		38		50		46		23		35		26		18		35		21		19
		1316243744	7D																											2								11
		1316243744	7J															3		1						2		5		4		1		1		1		5		6		1		3		2		6
		1316243744	7X									6				3		1		9		2		4				1								2				1		1		1
		1316243744	88					7		37		28		46		23		36		33		31		26		22		47		23		50		40		25		51		36		52		51		53		38
		1316243744	9E											1						4																				1
		1316243744	9G																																					2
		1316243744	E4																			2
		1316243744	E5	E6																				2												1
		1316243744	E6																																									1				1
		1316243744	HG							2
		1316243744	M2
		1316243744	PV							4
FT. LEWIS	MADIGAN PUYALLUP PHCY				Sum:	1	481	110	2,096	240	2,490	220	3,402	279	3,074	219	4,093	311	4,263	258	4,458	225	4,584	201	4,658	159	4,507	215	4,329	120	5,060	191	4,643	166	3,756	119	5,600	177	4,707	140	5,262	169	5,789	191	5,773	191	5,255	138	5,241

	LEWIS INPATIENT PHARMACY	1528167566				478		1,240		1,588		1,758		1,411		1,559		1,258		1,335		1,251		1,365		1,206		1,268		1,238		1,364		1,881		1,998		1,824		2,080		1,391		1,424		1,405		1,535
		1528167566	19																								3
		1528167566	22						1				1																																2
		1528167566	23				1
		1528167566	25				2				13
		1528167566	54								3				1		2		2																		7		2										7
		1528167566	61												1								2										2
		1528167566	61	23	61																								2
		1528167566	70				1		19		36		10		13		12		3		9		7		4		5		11		6		8		20		14		8		2		8		16		9		11
		1528167566	73								1
		1528167566	75						2								2						5		2				3										1		1		1		2				5
		1528167566	76				1		3		9		8				7		2																10								3
		1528167566	77						1		2		7		2		7		5		5		3		5		3				4		2		20		4		8		16				4		3		12
		1528167566	79				2		20		10		6		10		19		7		5		3		1		5		2		6		4		9		3		9		1		1		1				6
		1528167566	7D										3																						1								1
		1528167566	7J																		3						1		2		1								2		1		1		5		4		1
		1528167566	88				5		43		39		43		26		26		23		25		18		15		20		25		25		16		41		61		37		38		50		64		40		40
		1528167566	88	88	88										5
		1528167566	8E						2		3
		1528167566	9E				1				3		1										3																								4
		1528167566	AB						2																								14
		1528167566	E1	21	6T										1				1																				1
		1528167566	E1	21	E2																								3				2		3				4
		1528167566	E2						3						3		2				2		3						1		2		1		7						6		4						5
		1528167566	E2	61	23																								1
		1528167566	E2	EF																															5														2
		1528167566	E4																				2																2				2
		1528167566	E4	E5																																			1
		1528167566	E4	E6					2																																						2
		1528167566	E5	E6					1
		1528167566	E6
		1528167566	EV								2
		1528167566	EZ																												4
		1528167566	HG																		1										1						1
		1528167566	M2														2																		4												1
FT. LEWIS	LEWIS INPATIENT PHARMACY				Sum:	478	13	1,240	99	1,588	121	1,758	79	1,411	62	1,559	79	1,258	43	1,335	50	1,251	46	1,365	27	1,206	37	1,268	50	1,238	49	1,364	49	1,881	120	1,998	90	1,824	75	2,080	65	1,391	71	1,424	94	1,405	63	1,535	89

	LEWIS ONCOLOGY PHCY	1609975747				64		202		169		155		126		172		176		188		214		224		210		178		191		206		194		298		210		208		211		192		162		214
		1609975747	21	6P	23														1
		1609975747	22										2
		1609975747	23				3
		1609975747	25				2		1				1
		1609975747	40																																										8
		1609975747	54				1		3				1						3		1				2				1										3								3		7
		1609975747	70								2				2						1		1		1		2		1		1				1				4		2		1						1
		1609975747	75										1				11		1								2		3		5		1		17		4		4		6		5		6		4		6
		1609975747	76				2		10		8		4				1		1		3		2		10		7		4		6		3		1				2		1				2
		1609975747	77						1		1		2																								1				4
		1609975747	78				2		2																1				4				1		2		2		1		1		2		1
		1609975747	79				1		5		1		2		2		2				4										1		1												1				1
		1609975747	7X						2														4		2
		1609975747	88										1				4						1				1										1								4				3
		1609975747	8E				3		3
		1609975747	9E				1		1		3		3		2		3		1		1		3								1												4		9		14		6
		1609975747	E1	1W	21										1								1
		1609975747	E1	21	6T		1		3				1				3										1						1
		1609975747	E1	21	E2				2		2								3		2				1		2
		1609975747	E1	21	RK		1
FT. LEWIS	LEWIS ONCOLOGY PHCY				Sum:	64	17	202	33	169	17	155	18	126	7	172	24	176	10	188	12	214	12	224	17	210	15	178	13	191	14	206	7	194	21	298	8	210	14	208	14	211	12	192	31	162	21	214	24

FT. LEWIS MTF RX & Reject Total: 2 1 10,131 1,377 42,423 4,262 45,852 3,930 59,631 4,235 55,191 3,886 68,544 4,342 63,678 3,699 71,279 3,753 70,382 3,181 69,752 2,894 75,312 3,149 70,214 2,365 80,249 2,630 73,671 2,090 69,654 2,126 83,930 2,660 69,886 2,101 83,408 2,844 79,330 2,957 80,175 3,667 75,283 3,164 77,704 3,728 74,526 6,097

MCCHORD	MCCHORD CLINIC PHARMACY	1700048972				1,422		5,550		6,520		8,460		8,190		10,847		10,415		11,592		11,650		12,168		12,915		11,884		13,405		12,184		12,253		14,213		11,479		14,105		13,057		13,555		13,334		13,133
		1700048972	1V																														2
		1700048972	22				1		6		1		7		4		3		1		2		2		1		1		1		3				2				5						4		2
		1700048972	25				18		38		26		13		25		12		22		26		6		27		5		30		20		48		9		6		33		21		39		31		4		7
		1700048972	25	2N					2																1
		1700048972	2N						7		1		2								1		3		5		10		5		6		1		2						3		1						3
		1700048972	2N	25																					1
		1700048972	54				22		17		3		14		9		16		5		3		14		4		6		1		2				5		7				2		1		4		1
		1700048972	61										4																				1																1
		1700048972	70				3		4		6		5		3		6		5		8		1		5		3		3		3		12		11		6		1		6		8		20		9		4
		1700048972	71						2										3		8						4		3														2				2
		1700048972	73						7																										2
		1700048972	75				9		43		23		38		40		65		65		73		44		55		95		67		85		69		68		59		40		48		61		45		93		107
		1700048972	76				9		78		50		78		92		91		47		91		78		68		61		81		62		63		56		53		76		77		56		71		64		52
		1700048972	77				2		6		8				4		9				2		1		1		1				3		2		3		5		3		7		3		1		14		49
		1700048972	78						1		1		2				3		12																1						1						2
		1700048972	79				184		416		372		420		341		401		406		446		327		218		236		162		135		84		69		114		104		105		71		136		105		120
		1700048972	7D																														8				1		12
		1700048972	7J												1		1		1																		1		1
		1700048972	7X						3						3		3		3		3				4		1		1		3		3		2		1				4		2		2		3		7
		1700048972	81								1		3		3		2										3
		1700048972	88				28		79		97		90		67		107		81		90		92		77		113		81		95		110		66		137		81		94		82		126		124		102
		1700048972	8K										1
		1700048972	9E						3		2										3		1		4		3						3						4		3		4		1		1
		1700048972	9G												2
		1700048972	A1																																				1
		1700048972	CP																				2
		1700048972	CY																3
		1700048972	E4						3								2		2				1				6										2												1
		1700048972	E4	E5																									1		5						2										3
		1700048972	E4	E6					1										2								1										1
		1700048972	E5												1								1								2																2		3
		1700048972	E5	E6							1								2				2								2						2						4
		1700048972	E6																								1		1				1		1		1				1		1				1
		1700048972	EV				1		1								7						1		1		1				1
		1700048972	M2																2						2		2				3												3
MCCHORD	MCCHORD CLINIC PHARMACY				Sum:	1,422	277	5,550	717	6,520	592	8,460	677	8,190	595	10,847	728	10,415	662	11,592	756	11,650	576	12,168	474	12,915	553	11,884	437	13,405	430	12,184	407	12,253	297	14,213	398	11,479	361	14,105	372	13,057	338	13,555	441	13,334	430	13,133	456

MCCHORD MTF RX & Reject Total: 1,422 277 5,550 717 6,520 592 8,460 677 8,190 595 10,847 728 10,415 662 11,592 756 11,650 576 12,168 474 12,915 553 11,884 437 13,405 430 12,184 407 12,253 297 14,213 398 11,479 361 14,105 372 13,057 338 13,555 441 13,334 430 13,133 456 12,750 865

MOUNTAIN HOME	MT HOME OP PHCY	1811094667		5
MOUNTAIN HOME	MT HOME OP PHCY		Sum:	5

	DOD MT HOME EPHCY	1144636515	25		1
MOUNTAIN HOME	DOD MT HOME EPHCY			Sum:	1

MOUNTAIN HOME MTF RX & Reject Total: 5 1

ALTO PHARMACY #OC	1710408695	CY		3
ALTO PHARMACY #OC			Sum:	3

MTF RX & Reject Total: 3

TRAVIS	TRAVIS BX OP PHCY	1942309919			1		2
		1942309919	25			1
TRAVIS	TRAVIS BX OP PHCY			Sum:	1	1	2

	DOD TRAVIS EPHCY	1043622681		2	8
TRAVIS	DOD TRAVIS EPHCY		Sum:	2	8

TRAVIS MTF RX & Reject Total: 1 1 2 2 8

MONTEREY	DOD MONTEREY EPHCY	1770997124	75		1
MONTEREY	DOD MONTEREY EPHCY			Sum:	1

MONTEREY MTF RX & Reject Total: 1

List of Reject Codes & Def

Reject Codes	Definitions - per NCPDP Version 5.0 Reject Codes for Telecommunication Standard
12	M/I Place of Service
19	M/I Days Supply
1V	Multiple Transactions Not Supported
1W	Multi-Ingredient Compound Must be a Singe Transaction
21	M/I Product Service Number
22	M/I Dispense As Written (DAW)/Product Selection Code
23	M/I Ingredient Cost Submitted
25	M/I Provider ID
2N	M/I Prescriber State/Province Address
40	Pharmacy Not Contracted With Plan On Date Of Service
54	Non-Matched Product/Service ID Number
60	Product/Service Not Covered for Patient Age
61	Product/Service Not Covered for Patient Center
6P	Pricing Segment Required for Adjudication
6T	Compound Segment Required for Adjudication
70	Product/Service Not Covered - Plan/Benefit Exclusion
71	Prescriber ID Not Covered
73	Refills Are Not Covered
75	Prior Authorization Required
76	Plan Limitations Exceeded
77	Discontinued Product/Service ID Number
78	Cost Exceeds Maximum
79	Refill Too Soon
7D	Non-Matched DOB
7J	Patient Relationship Code Value Not Supported
7W	Refills Exceed Allowable Refills
7X	Days Supply Exceeds Plan Limitation
81	Claim Too Old
87	Reversal Not Processed
88	DUR Reject Error
89	Rejected Claim Fees Paid
8E	M/I DUR/PPS Level Of Effort
8K	DAW Code Value Not Supported
9E	Quantity Does Not Match Dispensing Unit
9G	Quantity Dispensed Exceeds Maximum Allowed
A1	ID Submitted is Associated with a Sanctioned Prescriber
AB	Date Written is After Date Filled
BB	Diagnosis Code Qualifier Submitted Not Covered
CP	M/I Patient Zip/Postal Zone
CY	M/I Patient ID
DU	M/I Gross Amount Due
E1	M/I Product/Service ID Qualifier
E2	M/I Route of Administration
E4	M/I Reason For Service Code
E5	M/I Professional Service Code
E6	M/I Result Of Service Code
EF	M/I Compound Dosage Form Description Code
EG	M/I Compound Dosage Unit Form Indicator
EP	M/I Associated Prescription/Service Date
EU	M/I Prior Authorization Type Code
EV	M/I Prior Authorization Number Submitted
EZ	M/I Prescriber ID Qualifier
G9	Pharmacy Not Contracted in 90 Day Refill Network
HF	M/I Quantity Intended To Be Dispensed
HG	M/I Days Supply Intended To Be Dispensed
M2	Recipient Locked In
PV	Non-Matched Associated Prescription/Service Date
RG	M/I Associated Prescription/Service Reference Number On Completion Transaction
RK	Partial Fill Transaction Not Supported
RM	Completion Transaction Not Permitted With Same "Date Of Service" As Partial Transaction
RN	Plan Limits Exceeded On Intended Partial Fill Field Limitations

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File details come from the government source that posted it. Updated Dec 2, 2019.