Request #17-1379
Please see the requested information below. This information can be obtained from the custodian of your Medical Documents. If you have questions or concerns please contact me at or (985)853-1080.

Required Information:
Pharmacy Identification Number
Fill Date
National Drug Code
Metric Quantity Dispensed
Day Supply 
Percent Sales Tax 
Flat Sales Tax 
Total Price Paid 
Retail/Mail Indicator 
Usual and Customary
Additional Preferred Information:
Claim Status 
Pharmacy Name 
Rx Number 
Drug Name 
Drug Strength 
Ingredient Cost 
Dispensing Fee 
Member Paid
Plan Paid 
COB Amount 
Pharmacy Network Access Fee 
Primary/Secondary Indicator
Specialty Indicator 
Compound Indicator


April 10, 2017 via web


April 28, 2017


Chief Administrative Office


Erica Bourgeois






Point of Contact

Admin Law

Request Closed   Hide Public

Your request cannot be fulfilled because it requires the department to created a new record.

Notably, the Public Records Law does not require the custodian to create a document to satisfy a request.  See Nungesser v. Brown, 95-3005 (La. 2/16/96); 667 So. 2d 1036, 1037.  See also La. Op. Att’y Gen. 1996-97 (July 3, 1996); La. Op. Att’y Gen. 97-328 (July 27, 1997).  Accordingly, your request will not be fulfilled.

April 20, 2017, 3:29pm
Due Date Changed Public
Due date changed from 04/19/2017 to 04/28/2017. Awaiting response from provider
April 19, 2017, 4:43pm
Request Published Public
April 17, 2017, 4:39pm
Request Published Public
April 17, 2017, 4:39pm
Due Date Changed Public
Due date changed from 04/13/2017 to 04/19/2017.
April 13, 2017, 4:09pm
Department Assignment Public
Added: Chief Administrative Office.
April 13, 2017, 12:21pm
Request Opened Public
Request received via web
April 10, 2017, 3:16pm