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Key points for pharmacy teams: Prescribers submit PA and the prescription to the central processor — patients do not self-enroll through a public application portal Pharmacies may need to transmit a test claim to establish a record before PA approval in some workflows Prescribers may use CoverMyMeds or fax per CMS guidance — download the current PA form from the CMS Bridge hub (do not submit PA before July 1, 2026) If a patient was already approved for Zepbound for obstructive sleep apnea or Wegovy for cardiovascular risk reduction , CMS expects those fills through Part D , not Bridge — see the Bridge Expectations & FAQs PDF NCPDP D.0 claim entry checklist Before you hit Submit, techs should verify: NCPDP version D.0 — Bridge does not accept legacy D.0 rejections from outdated switch configs BIN 028918 / PCN MEDDGLP1BR — double-check against the payer sheet PDF, not the patient's SilverScript or Wellcare card Days supply ≤ 28–30 days on weekly GLP-1 pens — Bridge rejects multi-month fills Quantity matches SIG — four Wegovy pens for Q weekly = 28-day supply, not 84 Patient copay $50.00 collected at pickup — Bridge copay does not flow through LIS or Extra Help subsidies Medicare Beneficiary Identifier (MBI) on file — Bridge uses Medicare ID, not the old HICN in most workflows If your software has a saved Third Party plan for Bridge, build it now using CMS credentials so techs cannot accidentally select the wrong Part D BIN during busy shifts
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