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Get the free Medicaid Pharmacy Newsletter - ncdhhs

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This newsletter provides updates on Medicaid pharmacy services in North Carolina, including new prior authorization requirements, drug utilization review alerts, and changes in covered medications
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How to fill out medicaid pharmacy newsletter

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How to fill out Medicaid Pharmacy Newsletter

01
Start by gathering all necessary patient information including name, case number, and contact details.
02
Review the guidelines and requirements for the newsletter to understand the purpose and content needed.
03
Fill out the sections regarding patient medications, including any new prescriptions or changes.
04
Ensure that all information is accurate and up-to-date to avoid delays in processing.
05
Include any relevant notes or special instructions for the pharmacy or patient.
06
Double-check the form for completeness before submission.
07
Submit the filled-out newsletter as per the instructions provided by Medicaid.

Who needs Medicaid Pharmacy Newsletter?

01
Patients who are enrolled in Medicaid and require prescription medications.
02
Pharmacies that dispense medications to Medicaid patients.
03
Healthcare providers who manage the care of Medicaid patients.
04
Medicaid administrative staff who process pharmacy claims and information.
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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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Medicaid Pharmacy Newsletter is a communication tool used to provide updates, guidelines, and important information regarding pharmacy services within the Medicaid program.
Pharmacies participating in the Medicaid program are required to file the Medicaid Pharmacy Newsletter as part of their compliance and reporting obligations.
To fill out the Medicaid Pharmacy Newsletter, providers must follow the specified guidelines outlined by the Medicaid program, ensuring all required fields are completed accurately, including medication details and patient information, if applicable.
The purpose of the Medicaid Pharmacy Newsletter is to disseminate information about policy changes, updates on prescription medications, and best practices for pharmacies to ensure compliance and improve patient care.
Required information on the Medicaid Pharmacy Newsletter typically includes drug utilization data, changes in formulary, adverse drug reactions, and updates on pharmacy practice standards.
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