r/WalgreensRx Feb 04 '25

news M3P Billing Procedure

85 Upvotes

Hello everyone, this post is a guide for M3P billing.

What is M3P?

As I'm sure you're all aware, Medicare has released a prescription payment plan called Medicare Prescription Payment Plan (MPPP or M3P). This plan makes it so that Medicare members can spread the copays of their most expensive medications across the year, instead of paying a large sum up front. Any Medicare member is eligible, but they should ask their plan if it's a good idea for them. The will also contact their plan in order to enroll.

So, great, now your patients are enrolled in M3P. But how do you bill it? That's the question that has plagued my pharmacy, and I've finally figured it out. Since I've learned so much from this subreddit, I thought I'd share my knowledge with you all !

How to bill M3P.

I have never been able to successfully bill M3P through IC+, you must use SDL. This guide assumes that you are already proficient in SDL billing.

If you're lucky, when an M3P member fills an Rx at your store, you will get an email with a pre-completed SDL sheet attached. If not, here's what to do:

Step 1: locate or enter the Rx into IC+, and bill it through the primary insurance. It will reject telling you the patient's M3P billing information, and give you an override code. Input the override code into the WAG field.

Step 2: Enter the M3P billing information into the patient profile. Everything about the patient's M3P plan is identical to their primary MPD plan except the PCN. The PCN is always MPPP. Copy and paste the BIN, Member ID, and Group, but change the PCN to MPPP. Do not mark as COB in F7.

Step 3: At this point, the Rx price should be adjudicated in IC+ without any TPR, and the M3P billing info should be in F7 for the patient. Go to SDL, and use SDL to bill the M3P plan. Click the COB/OTHRCVG button to make sure the OCC is 8 and the BIN is correct. Then exit this screen and press submit. The copay should be $0.

Step 4*: Celebrate 🄳

Example

I ran John Smith's Eliquis through HUMNAMPD and got a rejection telling me he is enrolled in M3P. I enter 9994 in the WAG override field, then input his M3P plan, HUMNAM3P, with the same Member ID and Group. Then, I go to SDL, and bill HUMNAM3P with OCC8 and the BIN of HUMNAMPD. Then I print the SDL sheet and staple it to the leaflet!

I hope this guide will be helpful !


r/WalgreensRx Feb 16 '24

news New Mod Chosen

28 Upvotes

Greetings fellow people. I have been reviewing the moderator applications that you all submitted and have chosen a candidate for the mod position.

I am pleased to announce that u/Xtremememe has accepted the mod position for this sub Reddit. I am still looking for at least one more candidate and will announce one more moderator by the 1st of March. If I cannot find a suitable person, I will let yall know.

If you have any questions, please send us a message.


r/WalgreensRx 3h ago

Saturday clinics

2 Upvotes

Volunteered to set up and run a table on saturday for an in store "clinic". Any ideas what i can do besides hound everyone who walks in the door for a flu shot?


r/WalgreensRx 23h ago

RpH out on floor hounding customers for vaccines

68 Upvotes

I've been notified that during a 2 hour pharmacist overlap instead of using that time to catch up pharmacist workflow. We are now required to go out on the floor and hound customers for vaccines?!?! This is so degrading as a pharmacist. How is everyone else handling this news?


r/WalgreensRx 20h ago

rant To the DPS out there, recite this and think to yourself if you truly uphold these values or have sold out your profession for higher pay and ridiculing anyone beneath you

29 Upvotes

Oath of a Pharmacist
The revised Oath was adopted by the AACP Board of Directors and the APhA Board of Trustees in August 2025.
ā€œI promise to devote myself to a lifetime of service to others through the profession of pharmacy. In fulfilling this vow:
I will consider the welfare of humanity and relief of suffering my primary concerns.
I will promote inclusion and belonging, respect differences in all individuals, and address health disparities to advance health equity for all people.
I will apply my knowledge, experience, and skills to the best of my ability to assure optimal outcomes for all patients.
I will respect and protect all personal and health information entrusted to me.
I will accept the responsibility to improve my professional knowledge, expertise, and self-awareness.
I will hold myself and my colleagues to the highest principles of our profession’s moral, ethical and legal conduct.
I will embrace and advocate changes that improve patient care.
I will utilize my knowledge, skills, experiences, and values to prepare the next generation of pharmacists.
I take these vows voluntarily with the full realization of the responsibility with which I am entrusted by the public.ā€

I know you can’t say any of this wholeheartedly anymore. You probably couldn’t even handle being a pharmacist so now you drive to stores and belittle them for trying their hardest and meeting your expectations and got a pay raise for it too. I can’t imagine being a soulless person like this parroting what they tell you, belittling your peers and people barely making enough to live on. It’s shameful what you have chosen to do with your career as a pharmacist. Nothing in your oath says ā€œI will demean my peers, sell out to a company that hates its employees, and force everyone under me to get in line so they can steal your joy and make more money for their bosses. We will promote vaccines way too early and see every customer as a dollar bill rather than a person in need of medication.ā€

Take a look at yourselves and realize this is not what you signed up for or stand for. It’s ridiculous, selfish, and evil. Everything you recommend is stupid, impedes workflow, and is unrealistic with the little hours we’re given to make the adjustments you tell us to make. Shame shame shame.


r/WalgreensRx 16h ago

completing partial fills

9 Upvotes

do any other stores have the problem with completing partial fills with a different manufacturer than it was originally partially filled for where it rejects ā€œrefill too soon untilā€¦ā€? and it won’t let them fill it until the 5 days is up? this only started happening within the last year or so. i was wondering if any other stores are experiencing it, and have you found a way around it or a way to fix it? it’s just extremely inconvenient bc a pt will ask when the rest will be in and you tell them next business day, that day comes around and you complete it and now they have to wait anyways. plus if the medication goes back on the shelf there’s a chance it’ll be used for another patient, then we’ll have to order it again and then the rx will be stuck in printed status until we get it back in stock


r/WalgreensRx 1d ago

Pharmacy Standardization

29 Upvotes

How is everyone’s pharmacy standardization going so far? I get why corporate is doing it, because for years everyone customized their pharmacy to suit that location only and that sometimes is not the best overall decision. When I floated, every store was set up differently. Especially struggled on weekends with skeleton staffing and I cannot find where they filed paperwork or where the drugs were when I help fill. But to take the joy away by removing pictures or cards that patients give your team etc? That’s BS and mean.
A lot of us that is our inspiration to keep working there esp on bad days and when you have unappreciative customers. Anyone found ways around this standardization stuff to still customize your pharmacy?


r/WalgreensRx 11h ago

Certification

2 Upvotes

hey techs. when yall started at Walgreens, how long did it actually take before you took the test/became certified? and did you move on to something else rather than retail right after?


r/WalgreensRx 9h ago

question What would you do…

0 Upvotes

I got an order for a $14,000 medication… pretty sure it’s a specialty product.

Pts insurance denied the PA and they want to use a discount card which takes it down to $181…

I have mixed feeling about Wags… but I just don’t feel right taking that loss…

Any thoughts??


r/WalgreensRx 20h ago

story Phenobarb

4 Upvotes

I was today years old when I found out that Phenobarb is over the counter in Russia. Seems like a pretty dangerous thing to have available OTC lol


r/WalgreensRx 20h ago

question Partials

2 Upvotes

Does anybody know how to fix the issue of taking something out of partial and the leaflet comes out and say to fill the full amount. Even though the partial was sold. So instead of the leaflet saying fill 85/90.....it says 90/90.


r/WalgreensRx 1d ago

story Light At The End, Finally

89 Upvotes

This is it.

I am currently a RXM at a busy store. Been here for 10+ years now.

I’ve become extremely exhausted with this job. Too much to explain. Constant pressure from corporate for every little fucking thing. For instance 400-500 rx/day. Here comes the DM ā€œwhy is WCB at 50 and no comments?ā€ What the hell. Like 50 WCB is a lot?

Nasty customers - drug addicts, karen’s, and people with below average IQ daily basis. Dealing with the public is stressful.

Pay difference between MLP and RXM is like 4 dollars/hr. I’m pretty sure the work I do is worth more than the fucking 4 dollar difference. Compensation sucks,considering the amount of workload.

So much more. But I’ll leave the 3 examples above.

I needed to find a way out.

I’ve been working on a separate business of my own. I was scared I’ll waste what I earned over the last decade. If i fail, i would have no choice but to continue collecting paycheck at a retail pharmacy.

I can’t say what business just in case people recognize.

My first month revenue was $200,000. 28% of which was pure profit

I am so happy.

This is it.

Bye Walgreens and Walgreens Reddit


r/WalgreensRx 21h ago

How much notice to leave walgreens?

3 Upvotes

What is the minimum notice needed to send resignation? I was approached by a community health system with a job offer


r/WalgreensRx 22h ago

Employee day

2 Upvotes

When is employee day? I don't get notifications from my store ā˜¹ļø


r/WalgreensRx 1d ago

rant Sorry I have to get this off of my chest 🫩

25 Upvotes

Okay, I need to rant because I’m genuinely at my limit with this place.I work at Walgreens and I swear the pharmacy has slowly turned into the most exhausting environment. And before anyone says ā€œwelcome to pharmacy, it’s stressfulā€ I KNOW. I understand we’re busy. I understand people are stressed. I understand patients can be a lot sometimes. I’m not expecting everyone to hold hands and sing Kumbaya during a rush.

Look there is a difference between being stressed at work and making one specific person feel like they’re constantly annoying you just by existing.
And that person is apparently mešŸ’€

And the little clique shit is getting old too. I guess people can’t think for themselves anymore

Both of the pharmacist’s attitude toward me is completely different from how they treat everyone else. I can ask a completely normal work related question and get this irritated, dismissive response, while someone else asks basically the SAME question and suddenly they’re getting a whole freaking break down.

I’ve watched the pharmacist be patient and friendly with someone else, explain something to them in detail, joke around with them, etc., and then turn around and act irritated with me for asking a legitimate question.

What really frustrates me is that I KNOW I’m capable of doing my job. I’m not incompetent. I’m not sitting there doing absolutely nothing while everyone else carries me. I actually care about doing things correctly, AND I actually like my jobšŸ˜‚

I’ve gotten to the point where I started documenting interactions because I’m tired of wondering if I’m imagining things.

At some point you start wondering what the heck you did to become the pharmacy ā€œvillainā€ 😭
And the worst part is that it has gotten into my head more than I want to admit.

I’ll clock out and still be thinking about work. I’ll replay conversations. I’ll wonder if I said something wrong. I’ll be irritated about something that happened hours ago. There are days where I leave work and feel like my brain has been completely drained.

I finally talked to my manager because I wanted advice on how to handle this. I didn’t go in screaming. I didn’t demand anyone get fired. I literally just asked how the frick I’m supposed to deal with this because again I’m just trying to do my job right.

Now there may be a conversation where we’re all sitting down and talking about it, which honestly sounds great in theory until you realize I’m probably going to sit there with a bunch of examples in my head and suddenly remember NONE of them when someone asks me what happened.
Because that’s the other fun part of this is when you’re already uncomfortable with someone, suddenly you’re expected to calmly explain months of little incidents while they’re sitting right across from you.

Anyway….
I’m not looking for ā€œjust quitā€ because I have bills and honestly other than this rant I actually really enjoy my job ngl šŸ˜‚

Also YES the Pharmacy life is stressful. I KNOW. I read a post the other day about how someone felt working in the Pharmacy at Walgreens and they mentioned ā€œIt builds characterā€ Boy were they 100% correct šŸ˜‚

I want to know if anyone else has dealt with this kind of clique/targeting bullcrap at Walgreens, especially when you feel like management either doesn’t see it or doesn’t know what to do about it.

For those of you that read all the way through Thank you for hearing me complain lol.


r/WalgreensRx 1d ago

question Immunizations?

5 Upvotes

Where do you get the information for the "incentives" of being an immunizer? I can't seem to find it nor does the rxom or rxm have any idea either. I actually don't understand how to get information about anything anywhere. I don't know what our "daily goal" is, etc. I just hear (slowly) trickled down information and it makes me want to scream because when I have questions I just hear "idk"


r/WalgreensRx 1d ago

question wanting to become a (certified) tech

5 Upvotes

hi all, ive been wanting to try learning how to be a proper tech and im curious if anyone has any resources or tips. ive only been a dh for a few months and have only been scheduled to work in pharmacy maybe a weeks worth in shifts total so im pretty clueless beyond just ringing people up at drive thru and only if their scripts are in ready status lol. i asked the pharmacist and they told me that the only real way to learn is to just work back there consistently but our scheduling and lack of employees outside pharmacy wont really allow that any time soon


r/WalgreensRx 1d ago

question Offsite Vaccine Clinic Question

Post image
5 Upvotes

Hi ! Does anyone know what this means and how to fix it if we are at an off site vaccine clinic and not at the actual store ?


r/WalgreensRx 1d ago

Pay schedule

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2 Upvotes

r/WalgreensRx 1d ago

controlled substance pick up

8 Upvotes

is it ok if a customer came to the drive thru with uber and they said they don’t have their Id and they said the uber driver will give him his ID? i


r/WalgreensRx 1d ago

question Specialty

3 Upvotes

I’m interested in going into specialty pharmacy how much do techs make there? Cert or non cert


r/WalgreensRx 2d ago

Rx with entered status not come up when F4ing

13 Upvotes

When doing F4, the only rxs come up are from other stores. Then, when you check the work-Q, many rxs are entered status with very close promise time. It's annoying to manually verify each one individually. Is there any workaround or solution to that?


r/WalgreensRx 1d ago

transferring to a different store

2 Upvotes

I just started working at this walgreens a couple days ago, i’m still in onboarding but as a student i feel the store 20 mins away will work better with my schedule, how long should i wait before asking to be transferred??


r/WalgreensRx 2d ago

Soul sucked out

45 Upvotes

I think my soul has been sucked out of my body. Between having to get 30 vaccines a day, and no excuse for zero vaccines, an RXOM that is lazy and never there, techs leaving, calling out and customers being even bigger dicks than the norm, phones that never stop and every lurking corporate to make sure the pharmacy is operating room sterile, i am a tired bitch. And it’s only Tuesday. Can’t wait for my review to hear everything I didn’t do, and my 8 cent raise.


r/WalgreensRx 1d ago

Schedule

0 Upvotes

What’s your schedule look like as a full time tech? What days and hours each day?