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Get the free North Carolina Medicaid Pharmacy Newsletter - ncdhhs

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This newsletter provides updates on Medicaid pharmacy policies, including drug substitutions, coverage changes, and prior authorization details for medications under the North Carolina Medicaid program.
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How to fill out North Carolina Medicaid Pharmacy Newsletter

01
Obtain the North Carolina Medicaid Pharmacy Newsletter template or access it online.
02
Read the instructions provided at the top of the newsletter carefully.
03
Fill in the required details such as pharmacy name, address, and contact information.
04
Provide information on any updates or changes relevant to pharmacy services.
05
Include any pertinent notices about drug formulary changes or medication management programs.
06
Ensure to review the newsletter for any errors or omissions.
07
Submit the completed newsletter according to the guidelines specified in the instructions.

Who needs North Carolina Medicaid Pharmacy Newsletter?

01
Pharmacists operating in North Carolina Medicaid programs.
02
Pharmacy technicians and staff involved in Medicaid-related services.
03
Healthcare providers seeking updated information on pharmacy services.
04
Patients enrolled in North Carolina Medicaid who rely on pharmacy services.
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People Also Ask about

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 publication that provides updates and information regarding pharmacy services, medication management, and policies related to the North Carolina Medicaid program.
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 follow specific guidelines provided by the North Carolina Medicaid program, ensuring that all required details and updates are accurately recorded.
The purpose of the North Carolina Medicaid Pharmacy Newsletter is to inform pharmacy providers about new regulations, updates in medication coverage, and best practices for medication management within the Medicaid program.
Information that must be reported includes updates on prescription medications, changes in formulary listings, policy changes, and any relevant statistics or data related to pharmacy services under Medicaid.
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