Agency Schedule Detail

Authorization Number : 580-1231

Agency Series No. : PHA-01C

Status : Active

Agency Web Link :

Agency : DMH

Confidential Description :

Division : DMHCOff

Vital Description :

Section : DMHCOff

Record Title : Account for Prescriptions

Revision : 1

Record Description : (DMH-0232)Invoice submitted by Pharmacy Benefit Manager (PPDM1) orcontract pharmacies claiming payment for prescriptions they have dispensed for Central Pharmacy patients. Includes pharmacy ID no., pharmacy name and address, patient names, date prescriptions filled, prescription no., etc. Note: The original is approved by a purchasing agent, and sent to the fiscal office, and filed with the voucher and retained for the same period of time as the voucher

Retention Period	Retention Justification	Media Code	Method of Disposal
Retain 2 years, then destroy.		Paper	Shred

Approvals

Status	Name	Title	Date
Approved	Sue Slaughter	Records Officer	3/14/2008 9:36:00 AM
Approved	Michael Hardenbrook	Record Administrator	3/17/2008 10:22:00 AM
Approved	Martin Meeks	State Auditor	3/24/2008 2:24:00 PM
Approved	Fred Previts	State Archivist	3/26/2008 10:05:00 AM

Notes

Date	Reason	User