"DUR Reject Error" Claim Processing Issue Corrected

VDP updated its pharmacy claims system to fix an earlier error with claims rejecting with National Council for Prescription Drug Programs (NCPDP) error code 88 (DUR Reject Error). The error affected claims submitted beginning March 31, 2024. Gainwell Technologies fixed the system on July 16, 2024.

Pharmacies receiving this error for fee-for-service Medicaid, Children with Special Health Care Needs Services Program, Kidney Health Care, or Healthy Texas Women Program claims should resubmit the claim. If you experience reprocessing issues, call the Texas Medicaid Pharmacy and Technical Call Center at 800-435-4165, Monday to Friday, from 7 a.m. to 7 p.m.