Latest Medicaid Pharmacy Newsletter Available

The latest Medicaid Pharmacy Newsletter, dated July 2017, is now available on the N.C. Division of Medical Assistance (DMA) website. In addition to the August 2017 checkwrite schedule, this edition of the newsletter includes articles about:

• Claims Reprocessing Due to Pharmacy Reimbursement Methodology Changes
• Updated Prior Approval Criteria for Opioid Analgesics
• Pharmacy Reimbursement Methodology Changes
• Pharmacy Behavioral Health Clinical Edits
• Coverage for Spinraza™ (nusinersen injection, for intrathecal use)
• FDA Requests Voluntary Removal of Opana ER for Risks Related to Abuse
• Generic Dispensing Rate Adjustments
• Claim Level Generic Dispensing Rate (GDR) Reports
• Board of Pharmacy Issues Guidance to Pharmacists on Implementation of the Strengthen Opioid Misuse Prevention ("STOP") Act

Providers are encouraged to review this important information. The 2017 Medicaid Pharmacy Newsletters can be found on the DMA website.