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Get the free North Carolina Medicaid Pharmacy Newsletter - ncdhhs

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This newsletter provides updates and changes to the North Carolina Medicaid Pharmacy Program, including changes in prescriptions, new identification cards, drug rebate information, and DUR alerts.
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How to fill out North Carolina Medicaid Pharmacy Newsletter

01
Begin by obtaining the North Carolina Medicaid Pharmacy Newsletter from the official website or local Medicaid office.
02
Review the latest updates and guidelines provided in the newsletter.
03
Provide your contact information in the designated section, including name, pharmacy address, and phone number.
04
Fill out any required demographic information specific to your pharmacy or organization.
05
Include details on any relevant changes in pharmacy operations or services.
06
Review the section for feedback or comments and provide any necessary input.
07
Ensure accuracy of all information provided before submission.
08
Submit the completed newsletter form through the specified submission method (online, mail, etc.).

Who needs North Carolina Medicaid Pharmacy Newsletter?

01
Pharmacists practicing in North Carolina.
02
Pharmacy staff involved in Medicaid services.
03
Healthcare providers who prescribe medications covered by Medicaid.
04
Research organizations studying Medicaid pharmacy benefits.
05
Policy makers and stakeholders in the healthcare system.
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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 published by the North Carolina Medicaid program to inform pharmacists, healthcare providers, and stakeholders about updates, policy changes, and important information related to the Medicaid pharmacy program.
Pharmacy providers who participate in the North Carolina Medicaid program are required to review and comply with the information provided in the North Carolina Medicaid Pharmacy Newsletter.
The North Carolina Medicaid Pharmacy Newsletter does not require a formal filing. Instead, pharmacy providers should read the newsletter for updates and implement any necessary changes to their practices based on the provided information.
The purpose of the North Carolina Medicaid Pharmacy Newsletter is to disseminate important clinical and administrative information to improve pharmacy services and medication management within the Medicaid program.
The North Carolina Medicaid Pharmacy Newsletter may report on drug utilization updates, policy changes, prior authorization criteria, educational resources, and information related to program compliance and best practices.
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