In short: “Refill the medication too soon” occurs because a person is trying to get their medication before the payer thinks it will expire. However, the exact timing may vary depending on several factors, such as the type of medication, pharmacy policies, and insurance coverage. Some drugs, especially controlled substances, have stricter refill rules. In addition, insurance companies often have policies to limit early replenishment to control costs and avoid unnecessary waste of medications.
If a patient tries to refill it too soon, the pharmacy may reject the refill request or request additional authorization from the doctor who prescribed the medication. Repeated requests for early refill may be a sign that a medication is being misused or is being diverted. If a pharmacy needs to cancel a claim for any other reason, it must do so within 999 days. If a claim is canceled after 120 days and the pharmacy attempts to re-bill, the claim will be rejected as being filed within 120 days and a consideration form must be submitted with a valid reason to re-bill after the 120 day deadline days.
See the Denied Rebilling Claims section below.
