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Get the free North Carolina Medicaid Pharmacy Newsletter - ncdhhs

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This document provides updates and information regarding North Carolina Medicaid Pharmacy, including recalls, drug coverage, billing practices, and changes in federal drug lists.
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How to fill out North Carolina Medicaid Pharmacy Newsletter

01
Begin with the header section, including the title 'North Carolina Medicaid Pharmacy Newsletter'.
02
Include the date of the newsletter publication.
03
Write an introductory paragraph summarizing the contents of this issue.
04
List the key topics or updates related to pharmacy services, labeling them clearly.
05
Provide detailed articles or sections on each key topic, ensuring clarity and readability.
06
Include a section for important reminders or deadlines for pharmacists and healthcare providers.
07
Incorporate contact information for questions or additional resources.
08
Conclude with a call to action for readers to stay informed or participate in surveys.

Who needs North Carolina Medicaid Pharmacy Newsletter?

01
Pharmacists working within the North Carolina Medicaid system.
02
Healthcare providers who prescribe medications to Medicaid recipients.
03
Patients enrolled in North Carolina Medicaid who need updates on pharmacy services.
04
Administrators and policymakers involved in Medicaid 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 periodic publication that provides updates, guidelines, and important information regarding the Medicaid pharmacy program in North Carolina.
Pharmacies participating in the North Carolina Medicaid program are required to file the North Carolina Medicaid Pharmacy Newsletter to ensure compliance with regulations and to stay informed about updates.
To fill out the North Carolina Medicaid Pharmacy Newsletter, pharmacies need to provide specific information required by the newsletter format, which typically includes participant details, services rendered, and medication information.
The purpose of the North Carolina Medicaid Pharmacy Newsletter is to provide important information to pharmacies for effective medication management, updates on policies, and communication regarding drug utilization and safe prescribing practices.
The information that must be reported includes patient demographics, medication dispensed, billing information, and any relevant clinical data as specified in the guidelines provided in the newsletter.
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