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Get the free Medicaid Pharmacy Newsletter - ncdhhs

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This newsletter provides important updates on changes to prescription limitations, pharmacy seminars, and policies related to the North Carolina Medicaid program, including information for providers
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How to fill out medicaid pharmacy newsletter

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How to fill out Medicaid Pharmacy Newsletter

01
Gather all relevant patient information, including names, Medicaid ID numbers, and medication history.
02
Include any necessary authorizations or special criteria for medications if required.
03
Fill in the specific medications prescribed, including dosage and frequency.
04
Attach any supporting documentation or prior authorization forms needed for the pharmacy claims.
05
Review the newsletter for completeness and accuracy before submission.

Who needs Medicaid Pharmacy Newsletter?

01
Patients enrolled in Medicaid who require medication access.
02
Pharmacists processing Medicaid prescriptions.
03
Healthcare providers managing patient care under Medicaid.
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People Also Ask about

Lock-in programs, sometimes referred to as patient review and restriction programs, require patients considered at risk for misuse of certain drugs to obtain and fill prescriptions from predesignated pharmacies and prescribers.
Lock-in programs attempt to mitigate the unsafe use of controlled substances by requiring enrolled patients to seek controlled substance services and prescriptions from, typically, a single prescriber and dispensing pharmacy—in other words, patients are “locked in” to using certain prescribers and pharmacies if they
The Medicaid Lock-In Program is a health and safety program that protects Members whose use of drug store (pharmacy) services goes beyond what is medically necessary. If you have Medicaid, you may be put in the Lock-in Program if you do not follow Medicaid rules.
Pharmacy newsletters provide medication tips, health advice, and updates on new treatments to keep customers and professionals informed.
Requests can also be submitted via fax (1-855-710-1969) or phone (1-866-246-8505).
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.
If you are in the NC Medicaid Lock-in Program and need to change your selected prescriber due to Hurricane Florence, contact the NCTracks Pharmacy Call Center at 1-866-246-8505 and request a change to another prescriber.
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.

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The Medicaid Pharmacy Newsletter is a publication that provides important updates, information, and guidelines regarding Medicaid pharmacy services, including policy changes, drug formulary updates, and best practices for pharmacy providers.
Pharmacy providers who participate in the Medicaid program and are responsible for dispensing medications must file the Medicaid Pharmacy Newsletter.
To fill out the Medicaid Pharmacy Newsletter, pharmacy providers should complete the specified sections with accurate information, including pharmacy details, drug dispensed, and any other required data as outlined in the guidelines provided in the newsletter.
The purpose of the Medicaid Pharmacy Newsletter is to ensure that pharmacy providers are informed about current policies, regulations, and practices regarding Medicaid pharmacy services, to enhance drug utilization and patient care.
The information that must be reported on the Medicaid Pharmacy Newsletter includes pharmacy name, NPI number, medications dispensed, patient information (if applicable), and any relevant comments or notes as required by Medicaid guidelines.
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