Rebate Details provides a complete, rebate-level view of an MFP rebate request at the ICN level. This view summarizes the current state of a rebate and presents a chronological history of how the rebate has progressed through validation, pricing, and response stages.
Use the Rebate Details to gain insight into where a rebate is in the MFP rebate process, review validation and pricing outcomes, and identify any disparities that may require further action.
Rebate Details Summary
The summary section includes a high-level overview of information about each rebate, including the pharmacy associated with the rebate, its current processing status, and the approval amount when available. Key fields in the rebate summary include:
Status – The current processing status of the rebate.
Approved Amount – The validated MFP rebate amount the pharmacy should expect the MTF to deposit, assuming no credits are applied.
ICN – Unique identifier assigned by the MTF to track an individual rebate request to support claim adjustments.
XREF – In the case of an adjustment, the XREF links the adjustment ICN to the previous ICN value associated with the rebate.
ADJ – The new ICN value issued as a part of an adjustment.
Additionally, you can see the Processed Date, which indicates when the rebate was processed by the MTF, and the Date of Service, which reflects when the product was dispensed.
Manufacturer Refund Notice (MRN)
The MRN information section displays details associated with the initial rebate notice received by the manufacturer from the MTF. These fields describe the product, dispense details, and inputs for manufacturer reference.
Days Supply – The number of days the dispensed quantity is intended to cover.
Quantity Dispensed – The total quantity of the product dispensed for the claim.
Service Provider – The pharmacy or dispensing entity that dispensed the drug.
NDC – The National Drug Code identifying the specific drug product dispensed.
Fill Number – The number of times the prescription was filled by the patient (first fill=0).
Here you can also see pricing inputs, including Wholesale Acquisition Cost (WAC) and Maximum Fair Price (MFP), which represent the per-unit prices provided by the MTF, as well as the Standard Default Refund Amount (SRDA), which reflects the difference between WAC and MFP per unit, multiplied by the number of units dispensed. The refund ultimately provided by the manufacturer may or may not equal the SDRA.
Note: To determine the SDRA, subtract the per‑unit MFP from the per‑unit WAC, then multiply the result by the total quantity dispensed:
SDRA = (Per‑Unit WAC – Per‑Unit MFP) × Quantity Dispensed
Manufacturer Refund Approval (MRA)
The MRA represents the manufacturer’s communication back to the MTF, indicating the payment determination on the rebate. The MRA records the Method for Approving the Rebate, which can return one of five outcomes:
SDRA – Indicates the rebate was approved with a refund amount equal to the SDRA.
Amount Other Than SDRA – Indicates the rebate was approved with a refund amount other than the SDRA.
No Refund Paid – Prospective MFP Access – Indicates no refund is due, as the drug was purchased at a price at or below the MFP.
No Refund Paid – 340B – Indicates no refund is due, as the drug was purchased at the 340B price and the 340B price was below the MFP.
No Refund Paid – Other – Indicates no refund was paid due to another, non-listed reason.
Manufacturer Refund Receipt (MRR)
The MRR reflects the final communication back to the manufacturer from the MTF regarding receipt and settlement of the manufacturer's funds for the rebate. Key fields provided in the MRR include:
MRA Receipt Date – The date the MRA was received by MTF from primary manufacturer.
Net Outstanding Amount – The total money paid to the dispensing entity for a given claim after adjusting for any previously paid amounts for the same claim. If negative, then the MTF is establishing a credit for the Primary Manufacturer’s selected drug for this specific NPI of the dispensing entity.
Actual Withdrawal Amount – The amount withdrawn by the MTF from the manufacturer’s account for the purpose of fulfilling MFP refund; this may differ from the approved amount if a credit was applied. When a credit is used, the credit amount plus the actual withdrawal amount equals the approved amount.
Manufacturer Trace Number – Provides a reference for tracking the payment transaction from manufacturer's account.
Additionally, this section also records key dates related to the transfer of manufacturer funds, including the Date Manufacturer Funds Were Withdrawn, Payment Finalization Date, and the Date of Payment to Dispensing Entity.
If credits are applied, the MRR also includes the Credit Applied Amount. As mentioned above, when a credit is used, the credit amount plus the actual withdrawal amount equals the approved amount.
Tip: Not sure how to open the Rebate Details for a rebate? Learn how with How to Find a Rebate Using an Internal Control Number (ICN).
Rebate History
The Rebate History provides a chronological record of how a rebate progresses through the MFP rebate process. Each row represents a processing step as it occurs, allowing you to easily track the rebate from initial receipt through validations, pricing, and final decision.
For each step, Beacon displays the associated processing state along with supporting details such as the price codes (available once the MRA is transmitted), price, issue codes, matched claim reference, and the date the step occurred.
Together, these details explain both the current status of the rebate and the decisions made at each step of processing to help document the lifecycle of a particular rebate.
Tip: For more information on Processing States and Descriptions, check out Rebate Processing States.
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