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Get the free North Carolina Medicaid Pharmacy Newsletter - ncdhhs

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This newsletter provides updates on Medicaid pharmacy services, including implementation of new regulations, policy changes, and operational updates relevant to providers in North Carolina.
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How to fill out North Carolina Medicaid Pharmacy Newsletter

01
Obtain the North Carolina Medicaid Pharmacy Newsletter template.
02
Review the latest updates from Medicaid regarding pharmacy services.
03
Fill in the date of publication at the top of the newsletter.
04
Include any relevant contact information for pharmacies and Medicaid representatives.
05
Summarize key points from the latest Medicaid guidelines or changes affecting pharmacy services.
06
Highlight any important deadlines for pharmacies and Medicaid recipients.
07
Include FAQs or common concerns related to medication management and pharmacy practices.
08
Proofread the document for clarity and correctness before distribution.

Who needs North Carolina Medicaid Pharmacy Newsletter?

01
Pharmacies participating in the North Carolina Medicaid program.
02
Medicaid beneficiaries who utilize pharmacy services.
03
Healthcare providers who prescribe medications for Medicaid patients.
04
Medicaid administrators who manage pharmacy benefits and communications.
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Medicaid patients are increasingly facing procedural prescription denials, meaning their health plans refuse to cover medications for administrative reasons like early refills, plan limits on pill amounts or prior authorization rules.
The North Carolina Medicaid Pharmacy Program offers a comprehensive prescription drug benefit, ensuring low-income North Carolinians have access to the medicine they need.
The Beneficiary Management Lock-in Program restricts beneficiaries to a single prescriber and pharmacy for controlled substances categorized as opiates or benzodiazepines when one or more of the following criteria are met: a. Benzodiazepines: 10 or more claims in two consecutive months when not medically necessary.
Although pharmacy coverage is an optional benefit under federal Medicaid law, all states currently provide coverage for outpatient prescription drugs to all categorically eligible individuals and most other enrollees within their state Medicaid programs.
The North Carolina Medicaid Pharmacy Program offers a comprehensive prescription drug benefit, ensuring low-income North Carolinians have access to the medicine they need.
NC Medicaid Direct provides coverage to beneficiaries who cannot enroll in a health plan through NC Medicaid Managed Care.

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The North Carolina Medicaid Pharmacy Newsletter is a communication tool used to share important updates, changes, and information regarding pharmacy services and policies within the North Carolina Medicaid program.
Pharmacists and pharmacy providers participating in the North Carolina Medicaid program are required to file the North Carolina Medicaid Pharmacy Newsletter.
To fill out the North Carolina Medicaid Pharmacy Newsletter, providers must complete all required fields accurately, ensuring they include information such as pharmacy details, medication utilization changes, and any other relevant updates as specified in the guidance documentation.
The purpose of the North Carolina Medicaid Pharmacy Newsletter is to inform pharmacy providers about updates in pharmacy policies, medication management, billing procedures, and other essential information to ensure compliance and improve patient care.
Information that must be reported on the North Carolina Medicaid Pharmacy Newsletter includes the provider's pharmacy name and address, changes in medication utilization, updates on policy changes, and any pertinent statistics related to pharmacy services.
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