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Document Is there a set timeframe in which an electronic claim message must be submitted?

All electronic claim messages must be sent within 180 days of the dispense notification message being sent. This is known as the 'claim reconciliation period'. Contractors have 180 days to firstly dispense the prescription and then a further 180 days to claim.

After this time period, any reimbursement endorsement submission will be rejected by the service.

Schedule 2, 3 or 4 controlled drugs

The prescription will need to be dispensed within 28 days. Once dispensed (i.e. the DN submitted) the pharmacy has 180 days to claim.

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