108 CMR 10.19
Procedures for Prescription Authorization
(1) The veterans’ agents should inform pharmacists in their area that billing should be on a
monthly basis to the veterans’ agent; and bills should clearly state:
(a) name and address of the recipient
(b) number of the prescription (identity)
(c) type, quantity, dosage of the medicine, and date filled
(d) number of refills
(e) when it is a refill, if provided by the pharmacist it must state which refill of the original
prescription it covers: “Third of Five”: etc.
(2) In cases where the veterans’ agent is in doubt, he or she should make a written request to
DVS for a prior approval.