Topics Related to Pharmacy Providers

The next review panel meeting is April 11, 2024

Effective with date of service Jan. 16, 2024, NC Medicaid covers benzathine benzylpenicillin (Extencilline)

CorDx, GoToKnow, FaStep COVID-19 AG Home Tests added to coverage.

This bulletin replaces the NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024 - Revised published Nov. 3, 2023.

North Carolina Medicaid will reimburse pharmacies for utilizing the statewide Self-Administered Hormonal Contraceptive Protocol for pharmacists.

NC Medicaid requires prescriptions to be ordered by Medicaid enrolled providers.

Starting in November 2023, Standard Plans and Medicaid Direct will reprocess claims without appropriate documentation of required codes.

Magellan Medicaid Administration, LLC has been awarded a contract to implement the solution, scheduled to launch in 2025.

This bulletin is replaced by Additional NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024 published on Jan. 24, 2024.

Effective Nov. 1, 2023, NC Medicaid will remove all copay requirements for antiretroviral medications which decrease viral load in patients with HIV.