Lisdexamfetamine Claiming Errors

When Vyvanse became funded in December 2024, there was a claiming issue where LTC patients dispensed it got 521 claim errors in the reply file:

To ensure scripts with 521 claim errors get paid, follow the steps below:

1. Check the medicine file is up to date:
   • Open a Lisdexamfetamine stock card (any strength) and check that D1 shows at the bottom of the page:
     
     
     
   • In the unlikely event that D1 is not there, run the medicine update manually:
     • Go to 7. Administration, 3. Updates and downloads, then 1. Download/check medicine files.
     • Tick Medicine Update Dec 24 (Available 19/12/24), press F7 Dn/Ld Files then F12 Accept Details when finished downloading.
     • On this menu, press 3. Update Medicines. This may take a few minutes.
     • Also ensure that automatic updates are enabled by going to 7. Administration, 1. Setup, then 5.General options and pressing F11 Next Page three times. Download monthly data files and Apply monthly data files should be ticked:
       
       
       
2. Go to the claim with the rejected items.
   • From the main menu 4. Electronic claiming then 1. Edit claim.
   • Select the claim with the errors (there may be multiple claims).
   • For each item with a 521 error, highlight it and press F2 View/Edit then F2 Edit Rx.
   • Re-enter in the same Quantity to trigger the Resend prompt.
   • Press F12 Accept Rx, F4 No Label, then F11 End Edit.
   • Select 3 Re-send, if Rx has previously been rejected for the item to go into the next claim:
     

These steps will automatically send the script in the next claim
 and will trigger it to claim and be paid correctly.