Entering a Third Party Quantity Conversion

Third party quantity conversions are used when the Third Party measures a unit of the drug differently than Propel Rx. For example, you may enter the quantity of an inhaler as the number of doses but the Third Party may want the quantity as the number of packs. By adding a quantity conversion in the Drug Folder for the specific Third Party, the correct quantity is submitted for adjudication.

Third party quantity conversions have no effect on inventory. It is only used for adjudication purposes.

For a quick demo on how to enter a Third Party quantity conversion for a drug, watch the video below.

To set up a Third Party quantity conversion for a drug:

1. Open the Drug Folder. The Inventory tab opens.

2. Select the Main tab.

3. Select the TP Rules button. The Drug Third Party Rules window opens.

4. Select Add. A row is added in the Alternatives section.

5. Dropdown the Third Party field. Select the Third Party that the quantity conversion should apply to. If it should apply to all plans, select *All*.

6. Dropdown the TP Plan field and select the plan for the rule.

7. Dropdown the Pack Size field and select the applicable pack size.

8. In the Rx Qty field, enter the lowest dispensing quantity for the drug in Propel Rx.

   The lowest dispensing quantity for Lumigan RC 0.01% eye drops, priced per unit (i.e. Price Code = C), is 5mL for the 5mL pack size. The Rx Qty is 5.

9. In the TP Qty field, enter the quantity that you want to submit to the Third Party in place of the prescription quantity.

   For Lumigan RC 0.01% eye drops, Ontario Drug Benefit wants the submitted quantity to be the number of bottles. The TP Qty = 1.

10. Repeat steps 4 - 9 for any remaining Third Parties or pack sizes that require a quantity conversion.

    

11. Select OK.

12. Select Save. The TP Qty automatically populates in the Rx Detail Third Party tab for the specified Third Party when a prescription for the drug is processed.