National Health Act 1953 - Amendment Rules under subsection 99AAA(8) 2010 (No. 1) (No. PB 113 of 2010) (Cth)

Amendment Rules under subsection 99AAA(8) 2010 (No.1)

PB 113 of 2010

National Health Act 1953

I, DAVID LEARMONTH, Deputy Secretary, Department of Health and Ageing, delegate of the Minister for Health and Ageing, make these rules under subsection 99AAA(8) of the National Health Act 1953.

Dated 28 November 2010

Signed by D Learmonth

Deputy Secretary

Department of Health and Ageing

_____________________________________________________

1Name of Rules

(1) These Rules are the Amendment Rules under subsection 99AAA(8) 2010 (No.1).

(2) These Rules may also be cited as PB 113 of 2010.

2Commencement

These Rules commence on 1 December 2010.

3Amendment of Rules under subsection 99AAA(8) (PB 49 of 2008)

Schedule 1 amends the Rules under subsection 99AAA(8) (PB 49 of 2008).

Schedule 1Amendments

(section 3)

[1]paragraph 2(b), subparagraph (i) of definition of A section

substitute

(i) in respect of an authority prescription, a repeat authorisation, a deferred supply authorisation, or an emergency drug supply form – the section of the form upon which the prescription is written that is provided for the purpose of recording the information required in the provision in these Rules in which the expression occurs; and

[2]paragraph 2(b), definition of authority prescription

substitute

“authority prescription” means a prescription that prescribes a pharmaceutical benefit and that has been authorised:

(a) in accordance with subregulation 13(5) of the Regulations; or

(b) under authority required procedures that are part of the circumstances determined by the Minister for paragraph 85(7)(b) of the Act for the pharmaceutical benefit.

Note: A determination under subsection 85(7) of the Act contains procedures that are called ‘authority required procedures’ that are part of the circumstances determined by the Minister for paragraph 85(7)(b) of the Act and that only apply to certain pharmaceutical benefits specified in the determination.

[3]paragraph 2(b), definition of doctor’s bag form

substitute

“emergency drug supply form” means an order form for the purpose of regulation 16 of the Regulations or a notification form for the purpose of 18A of the Regulations.

[4]paragraph 2(b), definition of exceptional prescription

substitute

“exceptional prescription” means a prescription for an extemporaneously-prepared pharmaceutical benefit that is not a standard formula preparation and for which the price of the ingredients calculated in accordance with sections 19 to 21 of the determination made under paragraph 98B(1)(a) of the Act is not less than twice the amount calculated in accordance with section 30 of that determination, excluding the container price and dispensing fee;”

[5]paragraph 2(b), definition of prescriber

substitute

“PBS prescriber” means the PBS prescriber who wrote or prepared the prescription;

[6]paragraph 2(b), definition of prescription

substitute

“prescription” includes a paper-based prescription, an ePrescription, a repeat authorisation, a deferred supply authorisation and an emergency drug supply form;

[7]paragraph 2(b), subparagraph (i) of definition of S section

substitute

1. (i)

   in respect of an authority prescription, a repeat authorisation, a deferred supply authorisation or an emergency drug supply form, the section of the form upon which the prescription is written that is provided for the purpose of recording the information required in the provision in these Rules in which the expression occurs; and

[8]sub-subparagraph 3(g)(ii)

substitute

(ii) on each of which that is not an authority prescription, a repeat authorisation, a deferred supply authorisation or an emergency drug supply form, shall be marked a stamp format in the area on the extreme left of the prescription, horizontally aligned with the pharmaceutical benefit to which it relates in such a way as to avoid obliterating any other information on the prescription; and

[9]sub-subparagraph 3(g)(iii)(D)

substitute

(D) in respect of emergency drug supply forms – commencing at “1” in each claim and continuing consecutively in respect of that claim; and

[10] sub-subparagraph 3(g)(vi)(A)

substitute

(A) where the approved supplier has made an election pursuant to subsection 31(1) of the determination made under paragraph 98B(1)(a) of the Act and the prescription is in respect of an extemporaneously-prepared pharmaceutical benefit that is not a standard formula preparation, the price calculated by the approved supplier in accordance with section 18 of that Determination; or

[11]sub-subparagraph 3(g)(vi)(B)

substitute

(B) where the approved supplier has not made an election pursuant to subsection 31(1) of the determination made under paragraph 98B(1)(a) of the Act and the prescription is an exceptional prescription, the price calculated by the approved supplier in accordance with section 18 of that Determination; or

[12]sub-subparagraph 3(g)(vi)(C)

substitute

(C) where the prescription is in respect of extemporaneously-prepared ear drops, eye drops or nasal instillations and the supply of the benefit in a glass bottle container is specified by the PBS prescriber or considered necessary by the approved supplier, the words “glass bottle”;

[13]Schedule 1, Part 4 – Prescription Record

omit

Form Category	6	6	One byte numeric, using the following values: Original prescription 1 repeat authorisation 2 Original authority prescription 3 repeat authorisation relating to authority prescription 4 deferred supply authorisation 5 prescription written by a participating dental practitioner 6 doctor’s bag form 7
Payment Category	7	7	One byte numeric, using the following values: general benefit 1 entitlement card 2 concessional benefit and concession card 3 doctor’s bag form 5

insert

Form Category	6	6	One byte numeric, using the following values: Original prescription 1 repeat authorisation 2 Original authority prescription 3 repeat authorisation relating to authority prescription 4 deferred supply authorisation 5 prescription written by a participating dental practitioner 6 emergency drug supply form 7
Payment Category	7	7	One byte numeric, using the following values: general benefit 1 entitlement card 2 concessional benefit and concession card 3 emergency drug supply form 5

[14]Schedule 1, Part 4 – Prescription Record

omit

Prescriber Number 13 19 Seven bytes numeric, right justified, zero filled, being the prescriber number of the prescribing medical practitioner, participating dental practitioner or authorised optometrist, issued by the Medicare Australia CEO in pursuance of the function set out at section 20 of the Medicare Australia (Functions of Chief Executive Officer) Direction 2005, except in respect of a prescription that was written by a medical practitioner where that prescriber number was not available to the approved supplier at the time of the supply of the pharmaceutical benefit, in which case the field shall be zero filled.

insert

Prescriber Number 13 19 Seven bytes numeric, right justified, zero filled, being the prescriber number issued by the Medicare Australia CEO to a PBS prescriber, except in respect of a prescription that was written by a medical practitioner where that prescriber number was not available to the approved supplier at the time of the supply of the pharmaceutical benefit, in which case the field shall be zero filled

[15]Schedule 1, Part 4 – Prescription Record

omit

Price	45	50	Six bytes numeric, right justified, zero filled, value in cents; for prescriptions priced by the approved supplier in accordance with an election pursuant to paragraph 39 of the determination made under paragraph 98(1) a) of the Act or priced by the approved supplier as exceptional prescriptions
Pricing Election	51	51	One byte alphabetic; value “Y” where the approved supplier has made an election pursuant to paragraph 39 of the determination made under paragraph 98B(1)(a) of the Act; otherwise “N”

insert

Price	45	50	Six bytes numeric, right justified, zero filled, value in cents; for prescriptions priced by the approved supplier in accordance with an election pursuant to subsection 31(1) of the determination made under paragraph 98(1)(a) of the Act or priced by the approved supplier as exceptional prescriptions
Pricing Election	51	51	One byte alphabetic; value “Y” where the approved supplier has made an election pursuant to subsection 31(1) of the determination made under paragraph 98B(1)(a) of the Act; otherwise “N”

[16]Schedule 1, Part 4 – Prescription Record

omit

Glass Bottle 58 58 One byte alphabetic; value “Y” if, in a prescription for extemporaneously-prepared ear drops, eye drops or nasal instillations, a glass bottle is ordered by the prescriber or considered necessary by the approved supplier otherwise “N”

insert

Glass Bottle 58 58 One byte alphabetic; value “Y” if, in a prescription for extemporaneously-prepared ear drops, eye drops or nasal instillations, a glass bottle is ordered by the PBS prescriber or considered necessary by the approved supplier otherwise “N”

[17]Schedule 2, Part 2 – Prescription Record

omit

Form Category	2	2	1	A/N	One byte numeric, using the following values: 1 = original 2 = repeat 3 = original authority 4 = repeat authorisation relating to an authority 5 = deferred supply authorisation 6 = prescription written by a participating dental practitioner 7 = doctor’s bag order form 8 = DVA authority original form 9 = DVA authority repeat form Valid values include: 1-9
Payment Category	3	3	1	N	One byte numeric, batch category: 1 = general benefit 2 = PBS Safety Net (free) 3 = concessional benefit 4 = repatriation 5 = doctor’s bag order form Valid values include: 1-5

insert

Form Category	2	2	1	A/N	One byte numeric, using the following values: 1 = original 2 = repeat 3 = original authority 4 = repeat authorisation relating to an authority 5 = deferred supply authorisation 6 = prescription written by a participating dental practitioner 7 = emergency drug supply form 8 = DVA authority original form 9 = DVA authority repeat form Valid values include: 1-9
Payment Category	3	3	1	N	One byte numeric, batch category: 1 = general benefit 2 = PBS Safety Net (free) 3 = concessional benefit 4 = repatriation 5 = emergency drug supply form Valid values include: 1-5

[18]Schedule 2, Part 2 – Prescription Record

omit

Prescriber Id 37 43 7 A/N Seven bytes numeric, right justified, space filled being the prescriber number of the prescribing medical or dental practitioner or authorised optometrist. Valid values include: 0000000-9999999

insert

Prescriber Id 37 43 7 A/N Seven bytes numeric, right justified, space filled being the prescriber number of the PBS prescriber. Valid values include: 0000000-9999999

[19]Schedule 2, Part 2 – Prescription Record

omit

Price 82 88 7 N Seven bytes numeric, right justified, zero filled, value in cents; for prescriptions priced by the approved pharmacist or approved medical practitioner in accordance with an election pursuant to paragraph 37 of the Determination under sub-section 98B(1) of the Act or priced by the approved pharmacist or approved medical practitioner as exceptional prescriptions or items that do not appear in the Schedules of PBS or RPBS Pharmaceutical Benefits and have been prior approved by the Department of Veterans’ Affairs must be priced. Valid values include: 0000000-9999999

insert

Price 82 88 7 N Seven bytes numeric, right justified, zero filled, value in cents; for prescriptions priced by the approved pharmacist or approved medical practitioner in accordance with an election pursuant to subsection 31(1) of the Determination under paragraph 98B(1)(a) of the Act or priced by the approved pharmacist or approved medical practitioner as exceptional prescriptions or items that do not appear in the Schedules of PBS or RPBS Pharmaceutical Benefits and have been prior approved by the Department of Veterans’ Affairs must be priced. Valid values include: 0000000-9999999

[20]Schedule 2, Part 2 – Prescription Record

omit

Glass Bottle 128 128 1 A One byte alphabetic, value ‘Y’ if, in a prescription for extemporaneously-prepared ear drops, eye drops or nasal instillations, a glass bottle is ordered by the prescriber or considered necessary by the approved pharmacist or approved medical practitioner; otherwise ‘N’. Valid values include: Y or N

insert

Glass Bottle 128 128 1 A One byte alphabetic, value ‘Y’ if, in a prescription for extemporaneously-prepared ear drops, eye drops or nasal instillations, a glass bottle is ordered by the PBS prescriber or considered necessary by the approved pharmacist or approved medical practitioner; otherwise ‘N’. Valid values include: Y or N

[21]Schedule 2, Part 2 – Prescription Record

omit

Medicare Number	146	156	11	N	Eleven bytes numeric, being made up of the first nine digits of the Medicare card number (Medicare number stem). The tenth digit being the card issue number and the eleventh digit being the individuals reference number. The Medicare number can also be a special Medicare number which applies to the person for whose treatment the prescription was written. For RPBS prescriptions where an entitlement number is supplied or doctors’ bag order forms, this field is zero filled. Valid values include: 00000000000-99999999999
Entitlement id	157	167	11	A/N	For concessional benefit prescriptions, the entitlement number from the Health Care Card, Pensioner Concession Card, Repatriation Health Card (Specific Conditions), Repatriation Health Card (All Conditions), Commonwealth Seniors Health Card, Repatriation Pharmaceutical Benefits Card, or PBS Safety Net Entitlements Card or PBS Safety Net Concessional Card which applies to the patient. For general benefit prescriptions (Where Immediate Supply Necessary is not ‘S’) or doctors bag order forms, this field is space filled. Valid values include: 0-9, A - Z, Alpha characters must be in upper case.
Family name	168	207	40	A	Alphabetic field, left justified, blank filled; being the surname of the person for whom the prescription was written. This being the name on the Medicare card or equivalent DVA card. For doctors’ bag order forms this field is space filled. Valid values include: A - Z and symbols ’ -. ( ) These are alpha characters
Given name	208	247	40	A	Alphabetic field, left justified, blank filled; being the given name, or the first letter of that name, of the person for whom the prescription was written. This being the name on the Medicare card or equivalent DVA card. For doctors’ bag order forms this field is space filled. Valid values include: A - Z and symbols ’ -. ( ) These are alpha characters

insert

Medicare Number	146	156	11	N	Eleven bytes numeric, being made up of the first nine digits of the Medicare card number (Medicare number stem). The tenth digit being the card issue number and the eleventh digit being the individuals reference number. The Medicare number can also be a special Medicare number which applies to the person for whose treatment the prescription was written. For RPBS prescriptions where an entitlement number is supplied or emergency drug supply forms, this field is zero filled. Valid values include: 00000000000-99999999999
Entitlement id	157	167	11	A/N	For concessional benefit prescriptions, the entitlement number from the Health Care Card, Pensioner Concession Card, Repatriation Health Card (Specific Conditions), Repatriation Health Card (All Conditions), Commonwealth Seniors Health Card, Repatriation Pharmaceutical Benefits Card, or PBS Safety Net Entitlements Card or PBS Safety Net Concessional Card which applies to the patient. For general benefit prescriptions (Where Immediate Supply Necessary is not ‘S’) or emergency drug supply forms, this field is space filled. Valid values include: 0-9, A - Z, Alpha characters must be in upper case.
Family name	168	207	40	A	Alphabetic field, left justified, blank filled; being the surname of the person for whom the prescription was written. This being the name on the Medicare card or equivalent DVA card. For emergency drug supply forms this field is space filled. Valid values include: A - Z and symbols ’ -. ( ) These are alpha characters
Given name	208	247	40	A	Alphabetic field, left justified, blank filled; being the given name, or the first letter of that name, of the person for whom the prescription was written. This being the name on the Medicare card or equivalent DVA card. For emergency drug supply forms this field is space filled. Valid values include: A - Z and symbols ’ -. ( ) These are alpha characters

[22]Schedule 3, Part 1 – PBS Input elements Reconciliation Statement

omit

dateOfPrescribing 8 A Preassessment: N Claiming: M Values: Date represented in string format as DDMMCCYY. Should not default to the current date. Use: Preassessment, Claiming Level: Prescription Record The date that the doctor wrote the prescription.

insert

dateOfPrescribing 8 A Preassessment: N Claiming: M Values: Date represented in string format as DDMMCCYY. Should not default to the current date. Use: Preassessment, Claiming Level: Prescription Record The date that the PBS prescriber wrote the prescription.

[23]Schedule 3, Part 2 – PBS Input elements

omit

AuthorityApprovalNum 8 A/N Preassessment: M/C Claiming: M/C Cancellation: N THIS FIELD IS FOR FUTURE USE Use: Preassessment, Claiming Level: Prescription Record The authority number allocated by the Medicare Australia CEO and given to the prescriber, if applicable.

insert

AuthorityApprovalNum 8 A/N Preassessment: M/C Claiming: M/C Cancellation: N THIS FIELD IS FOR FUTURE USE Use: Preassessment, Claiming Level: Prescription Record The authority number allocated by the Medicare Australia CEO and given to the PBS prescriber, if applicable.

[24]Schedule 3, Part 2 – PBS Input elements

omit

dateOfPrescribing 8 N Preassessment: M Claiming: M Cancellation: N Values: Date represented in numeric format as DDMMCCYY. Constraints: The Client System software should not default this field to the current date except for DBOF Use: Preassessment, Claiming Level: Prescription Record The date that the prescriber wrote the prescription

insert

dateOfPrescribing 8 N Preassessment: M Claiming: M Cancellation: N Values: Date represented in numeric format as DDMMCCYY. Constraints: The Client System software should not default this field to the current date except for emergency drug supply form Use: Preassessment, Claiming Level: Prescription Record The date that the PBS prescriber wrote the prescription

[25]Schedule 3, Part 2 – PBS Input elements

omit

EntitlementId	1	A/N	Preassessment: M/C Claiming: M Cancellation: N	Values: Must match the appropriate format for the entitlement identifier being used. Constraints: This field is not required for payment categories 1 (General) and 5 (Doctor’s Bag Order Forms).	Use: Preassessment, Claiming Level: Prescription Record Indicates the number of the Health Care Card, Pensioner Concession Card, Repatriation Health Card (Specific or All Conditions), Commonwealth Seniors Health Card, Repatriation Pharmaceutical Benefits Card, or free Safety Net Entitlement or Safety Net Concession card.
FamilyName	40	A	Preassessment: M/C Claiming: M/C Cancellation: N	Values: The family name as per the Medicare or DVA card. Constraints: This field is not required for Doctor’s Bag Order Forms.	Use: Preassessment, Claiming Level: Prescription Record The surname of the person for whom the prescription was written sourced from Medicare card or equivalent DVA card.

insert

EntitlementId	1	A/N	Preassessment: M/C Claiming: M Cancellation: N	Values: Must match the appropriate format for the entitlement identifier being used. Constraints: This field is not required for payment categories 1 (General) and 5 (Emergency drug supply forms).	Use: Preassessment, Claiming Level: Prescription Record Indicates the number of the Health Care Card, Pensioner Concession Card, Repatriation Health Card (Specific or All Conditions), Commonwealth Seniors Health Card, Repatriation Pharmaceutical Benefits Card, or free Safety Net Entitlement or Safety Net Concession card.
FamilyName	40	A	Preassessment: M/C Claiming: M/C Cancellation: N	Values: The family name as per the Medicare or DVA card. Constraints: This field is not required for Emergency drug supply forms.	Use: Preassessment, Claiming Level: Prescription Record

The surname of the person for whom the prescription was written sourced from Medicare card or equivalent DVA card.

[26]Schedule 3, Part 2 – PBS Input elements

omit

FormCategory	1	A/N	Preassessment: M Claiming: M Cancellation: N	Values: 1 = Original 2 = Repeat 3 =Original authority 4 = Repeat authorisation relating to an authority 5 = Deferred supply authorisation 6 = Prescription written by a participating dental practitioner 7 = Doctor’s bag order form 8 = DVA Authority 9 = DVA Authority Repeat Form	Use: Preassessment, Claiming Level: Prescription Record Identifies the prescription form type.
GivenName	40	A	Preassessment: M/C Claiming: M/C Cancellation: N	Values: The given name as per the Medicare or DVA card. Constraints: This field is not required for Doctor’s Bag Order Forms.	Use: Preassessment, Claiming Level: Prescription Record The given name of the person for whom the prescription was written sourced from their Medicare card or equivalent DVA card.

insert

FormCategory	1	A/N	Preassessment: M Claiming: M Cancellation: N	Values: 1 = Original 2 = Repeat 3 =Original authority 4 = Repeat authorisation relating to an authority 5 = Deferred supply authorisation 6 = Prescription written by a participating dental practitioner 7 = Emergency drug supply form 8 = DVA Authority 9 = DVA Authority Repeat Form	Use: Preassessment, Claiming Level: Prescription Record Identifies the prescription form type.
GivenName	40	A	Preassessment: M/C Claiming: M/C Cancellation: N	Values: The given name as per the Medicare or DVA card. Constraints: This field is not required for Emergency drug supply forms.	Use: Preassessment, Claiming Level: Prescription Record The given name of the person for whom the prescription was written sourced from their Medicare card or equivalent DVA card.

[27]Schedule 3, Part 2 – PBS Input elements

omit

MedicareNum	11	N	Preassessment: M/C Claiming: M/C Cancellation: N	Constraints: Not required for payment categories 5 (Doctor’s Bag Order Forms) and 4 (where a DVA File Number is used.)	Use: Preassessment, Claiming Level: Prescription Record The Medicare card number (including card issue number and individual reference number) of the person for whom the prescription was written.
NumberOfRepeats	2	N	Preassessment: M Claiming: M Cancellation: N	Use: Preassessment, Claiming Level: Prescription Record Indicates the number of repeats ordered by the prescriber. Zero is an acceptable value for the field, if applicable.

insert

MedicareNum	11	N	Preassessment: M/C Claiming: M/C Cancellation: N	Constraints: Not required for payment categories 5 (Emergency drug supply forms) and 4 (where a DVA File Number is used.)	Use: Preassessment, Claiming Level: Prescription Record The Medicare card number (including card issue number and individual reference number) of the person for whom the prescription was written.
NumberOfRepeats	2	N	Preassessment: M Claiming: M Cancellation: N	Use: Preassessment, Claiming Level: Prescription Record Indicates the number of repeats ordered by the PBS prescriber. Zero is an acceptable value for the field, if applicable.

[28]Schedule 3, Part 2 – PBS Input elements

omit

PaymentCategory 1 N Preassessment: M Claiming: M Cancellation: N Values: 1 = General benefit 2 = PBS Safety Net (free) 3 = Concessional benefit 4 = Repatriation 5 = Doctor’s bag order form Use: Preassessment, Claiming Level: Prescription Record Indicates the type of benefit and level of patient co-payment.

insert

PaymentCategory 1 N Preassessment: M Claiming: M Cancellation: N Values: 1 = General benefit 2 = PBS Safety Net (free) 3 = Concessional benefit 4 = Repatriation 5 = Emergency drug supply form Use: Preassessment, Claiming Level: Prescription Record Indicates the type of benefit and level of patient co-payment.

[29]Schedule 3, Part 2 – PBS Input elements

omit

PrescriberId 7 A/N Preassessment: M Claiming: M Cancellation: N Use: Preassessment, Claiming Level: Prescription Record The prescriber number of the prescribing medical, participating dental practitioner or authorised optometrist.

insert

PrescriberId 7 A/N Preassessment: M Claiming: M Cancellation: N Use: Preassessment, Claiming Level: Prescription Record The prescriber number of the PBS prescriber.

[30]Schedule 3 – PBS Output Elements – PBS Reconciliation Statement

omit

FamilyName	40	A	Statement: P	This field is not retuned for Doctor’s Bag Order Forms of for a pended prescription	Level: Prescription Record The surname of the person for whom the prescription was written as supplied by the Approved Supplier.
GivenName	40	A	Statement: P	This field is not retuned for Doctor’s Bag Order Forms of for a pended prescription.	Level: Prescription Record The given name of the person for whom the prescription was written as supplied by the Approved Supplier.

insert

FamilyName	40	A	Statement: P	This field is not returned for emergency drug supply forms or for a pended prescription.	Level: Prescription Record The surname of the person for whom the prescription was written as supplied by the Approved Supplier.
GivenName	40	A	Statement: P	This field is not returned for emergency drug supply forms or for a pended prescription.	Level: Prescription Record The given name of the person for whom the prescription was written as supplied by the Approved Supplier.

[31]Schedule 3, Part 3 – PBS Output Elements – PBS Reconciliation Statement

omit

TotalDoctorsBag BenefitPrescriptions	5	N	Statement: Y	The amount will be represented in cents and padded with leading zeros to meet the length requirement.	Level: Summary Record Total number of Doctor’s bag benefit items rebated.
TotalDoctorsBag BenefitRebate	11	N	Statement:Y	The amount will be represented in cents and padded with leading zeros to meet the length requirement.	Level: Summary Record Total value (Net Price) of Doctor’s Bag benefit rebates.

insert

TotalEmergency DrugSupplyBenefitPrescriptions	5	N	Statement: Y	The amount will be represented in cents and padded with leading zeros to meet the length requirement.	Level: Summary Record Total number of Emergency drug supply benefit items rebated.
TotalEmergency DrugSupplyBenefitRebate	11	N	Statement:Y	The amount will be represented in cents and padded with leading zeros to meet the length requirement.	Level: Summary Record Total value (Net Price) of Emergency drug supply benefit rebates.

[32]Schedule 3, Part 3 – PBS Output Elements – PBS Reconciliation Statement

omit

PaymentCategory 1 N Statement: Y 0 = invalid category 1 = general benefit 2 = entitled (free) 3 = concessional benefit 4 = repatriation 5 = doctor’s bag order form Level: Prescription Record Payment category in which the prescription was claimed. Secondary prescription identifier used in conjunction with the serial number.

insert

PaymentCategory 1 N Statement: Y 0 = invalid category 1 = general benefit 2 = entitled (free) 3 = concessional benefit 4 = repatriation 5 = Emergency drug supply form Level: Prescription Record Payment category in which the prescription was claimed. Secondary prescription identifier used in conjunction with the serial number.