Mailing and Delivery Fee Claims for Pharmacies

Beginning April 27, 2020 pharmacies can indicate that a mailing or delivery fee is requested by submitting a Level of Service (NCPDP Field 418-DI) equal to 02 at a rate of $1.50 (for prescriptions that were mailed) or 06 at a rate of $3.00 (for prescriptions that were delivered via courier or other person to person delivery). Please note:

• Pharmacies cannot request an emergency supply and a delivery fee on the same claim
• Providers are limited to one mail or delivery fee, per beneficiary, per pharmacy NPI, per day
• Providers can retroactively bill for a delivery fee with a dispensing date of April 27, 2020 and after.
• No more than one delivery fee will be paid on a single claim
• Denied pharmacy claims will not pay a delivery fee