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July 2013
Follow prescription signature guidelines for controlled, noncontrolled substances
Recent audits have revealed that a rising number of prescriptions do not meet the prescription signature guidelines required by Blue Cross Blue Shield of Michigan and Blue Care Network. In order to determine what signatures are acceptable for controlled and noncontrolled substances, you should ascertain how the prescription originated and then how it was received.
Stamped signatures are not allowed. The chart below provides guidelines to help you understand the Blues’ signature documentation requirements for a valid prescription.
Following an audit, BCBSM and BCN will seek recovery, including statistical projection, for claims that are not supported by prescriptions meeting these requirements. For additional information on prescription signatures, see The Record’s May 2009 article titled “Drug program signatures.”
Prescription signature guidelines
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Traditional paper prescription |
Prescription sent from prescriber fax to pharmacy fax |
Prescription sent from prescriber computer to pharmacy fax |
Prescription sent from prescriber computer to pharmacy computer |
Noncontrolled Substances |
Physical signature |
Physical signature |
Electronic signature |
Electronic signature |
Controlled Substances |
Physical signature |
Physical signature
CIII-CV only |
Not applicable; this transmission option is not permitted |
Electronic signature, when legal requirements are satisfied (e.g. certification) |
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