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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 and initiatives in North Carolina, including antipsychotic medication monitoring and changes due to the Affordable Care Act.
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How to fill out North Carolina Medicaid Pharmacy Newsletter

01
Obtain the latest version of the North Carolina Medicaid Pharmacy Newsletter from the official website or your pharmacy software.
02
Review the key updates and changes to Medicaid policies and pharmacy guidelines presented in the newsletter.
03
Fill out your pharmacy's information at the top of the newsletter, including name, address, and contact details.
04
Include the date of submission in the designated field.
05
Provide any necessary statistics or data related to your pharmacy's prescription fills for Medicaid recipients.
06
Make sure to include any specific comments or feedback regarding the Medicaid program as instructed.
07
Review your filled-out newsletter for accuracy and completeness.
08
Submit the completed newsletter via the specified method, whether by mail or electronically.

Who needs North Carolina Medicaid Pharmacy Newsletter?

01
Pharmacists who participate in the North Carolina Medicaid program.
02
Pharmacy staff responsible for processing Medicaid claims.
03
Healthcare professionals involved in managing Medicaid recipients' prescriptions.
04
Medicaid beneficiaries who want to stay informed about pharmacy services and updates.
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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, guidelines, and important information related to pharmacy services under the North Carolina Medicaid program.
Pharmacy providers who participate 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 should follow the specified guidelines and instructions provided in the newsletter, including submitting necessary information regarding services and updates.
The purpose of the North Carolina Medicaid Pharmacy Newsletter is to communicate important information, updates, and changes regarding pharmacy policies, procedures, and services to Medicaid providers.
The information that must be reported on the North Carolina Medicaid Pharmacy Newsletter includes updates on drug formulary changes, medication management guidelines, billing procedures, and any pertinent pharmacy-related news.
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