Troubleshooting R281 error on some internal extemporaneous scripts

Fred Dispense Plus

Issue

Some pharmacies have reported receiving a rejection with an R 281 Reason Code on some internal extemporaneous scripts in Fred Dispense Plus.

R 281

This exceptionally priced prescription is not twice the average price.

1. This prescription is not eligible for payment as an exceptionally priced item as it is not twice the average price. A price should only be supplied where the price is more than twice

the average price.

2. Check the pricing and item code details on the paperwork match the details provided in your claim,  amend and resubmit if necessary.

3. If the price is correct but is not twice the average price remove the price and resubmit. The prescription will be paid at the average price.

Resolution

1. Highlight the rejected script on the Wait screen.
2. Click the Edit Rx button to open the script.
3. Type "extemp" in the Drug selection field.   
   
4. Make a note of the original Quantity. (In this example, it is 1,500).
5. Change Qty from the original quantity to 1 and click OK to save.
   
6. Repeat Step 3 and change Qty back to the original quantity (1500 in this example) then save.
   
7. Complete the script and reclaim.