Topics Related to Pharmacy Providers

Includes information on vaccine reimbursement, billing, counseling coverage and Immunization Program/Vaccines for Children

This bulletin applies to both NC Medicaid Direct and NC Managed Care health plans.

This bulletin contains information on updated flexibilities being implemented by NC Medicaid due to the Hurricane Helene Public Health Emergency.
This is an update to a bulletin published on Sept. 26, 2024, regarding flexibilities related to Hurricane Helene for NC Medicaid beneficiaries.
Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries
Guidance based on products approved by the FDA and recommended by the CDC Advisory Committee on Immunization Practices (ACIP).
Coverage effective for dates of service from July 26, 2024
Effective Sept. 1, 2024, NC Medicaid will begin covering condoms and spermicides as over-the-counter products, through the pharmacy benefit.
Two FASTEP COVID 19 AG HOME TEST NDCs added to coverage.
Flexibilities effective Aug. 6, 2024, for NC Medicaid beneficiaries due to Tropical Storm Debby.