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Get the free North Carolina Medicaid Pharmacy Newsletter - ncdhhs

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This newsletter provides information regarding North Carolina Medicaid updates, including National Provider Identifier application information, Medication Therapy Management Program forms, administrative
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How to fill out North Carolina Medicaid Pharmacy Newsletter

01
Obtain the North Carolina Medicaid Pharmacy Newsletter from the official Medicaid website or your pharmacy.
02
Read through the introductory section for important updates and guidelines.
03
Locate the specific sections relevant to your pharmacy or healthcare practice.
04
Fill out required sections such as pharmacy details, services, and medications provided.
05
Include any necessary compliance information and attachments if needed.
06
Review the completed form for accuracy.
07
Submit the form according to the provided instructions, ensuring it is sent to the correct address or portal.

Who needs North Carolina Medicaid Pharmacy Newsletter?

01
Pharmacies participating in the North Carolina Medicaid program.
02
Pharmacists and healthcare providers involved in dispensing Medicaid-covered medications.
03
Patients receiving Medicaid benefits who rely on pharmacy services.
04
Medicaid program administrators for tracking and compliance purposes.
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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 communication tool that provides essential information regarding updates, policies, and guidelines related to 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 state regulations.
To fill out the North Carolina Medicaid Pharmacy Newsletter, providers need to complete the designated sections with accurate information regarding drug usage, service delivery, and any other relevant data as specified in the newsletter guidelines.
The purpose of the North Carolina Medicaid Pharmacy Newsletter is to inform and educate pharmacy providers about changes in policies, formulary updates, and best practices that enhance patient care and compliance within the Medicaid system.
The information that must be reported on the North Carolina Medicaid Pharmacy Newsletter includes prescription claims data, medication management details, any exceptional cases, and compliance with state pharmacy regulations.
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