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Prescription Drug Program Manual

Prescription Drug Program Manual

 

Prescription Drug Program Manual

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Prescription Drug Program Manual

Updated 04/25/2017

This manual was updated 04/25/2017

Update Log

Update Log

 

06.15.2016
Prescription Drug Program, July 2016: Cost Share Updates
 

12.31.2015
Prescription Drug Program, January 2016: HELP Plan-Related Updates and Others
 

07.21.2015
Prescription Drug Program, Prior Authorization, Reimbursement, and Billing Procedures
 

03.25.2015
Prescription Drug Program, Entire Manual
 

09.27.2013
Prescription Drug Program, Reimbursement
 

09.05.2013
Prescription Drug Program, Entire Manual Including the New Passport Chapter
This set of replacement pages contains a terminology change ("client" to "member"); however, only content changes are marked with a change bar (black line).
 

04.17.2013
Prescription Drug Program, Key Contacts and Reimbursement
 

02.04.2013
Prescription Drug Program, Medicaid Covered Products
 

02.01.2012
Prescription Drug Program, Multiple Chapters
 

09.01.2011
Prescription Drug Program, Medicaid Covered Services and Reimbursement (Dispensing Fee) and MHSP Covered Products (Formulary Drugs)
 

06.17.2011
Prescription Drug Program
Entire manual has changed from last posted version.
 

11.16.2004
Prescription Drug Program, Updated Prescription Drug Prior Authorization Criteria
 

06.16.2004
Prescription Drug Program, Prior Authorization and HIPAA Updates
 

06.10.2004
Prior Authorization Additions

Table of Contents

 

Key Contacts

 

Drug Program

 

Medicaid Covered Products

 

MHSP Covered Products

 

Dispencing Limitations

 

Prior Authorization

 

Reimbursement

 

Billing Procedures

 

Point-of-Sale

 

Billing a Paper Claim

 

Appendix A: Forms

 

Definitions and Acronyms

 

Index

 

Complete Prescription Drug Program Manual