Topics Related to Pharmacy Providers

NC Medicaid to Remove Copays for Drugs used to treat Opioid Use Disorder and Nicotine Replacement Therapy

Changes are effective Aug. 1, 2024

Ensuring Continuity of Care Through Tailored Plan Launch

Reminders for NC Medicaid Providers related to transitions at Tailored Plan Launch.

NC Medicaid to Add Coverage for Obesity Management Medications

Effective Aug. 1, 2024, NC Medicaid will cover obesity management medications for beneficiaries 12 years of age and older.

Opill to be Covered Without a Prescription

Effective Aug. 1, 2024, over the counter oral contraceptive Opill will be available without a prescription, at no cost.

Nicotine Replacement Therapy Protocol Reimbursement Effective Aug. 1, 2024

Usage of the Nicotine Replacement Therapy Protocol is Eligible for Clinical Services Reimbursement to Pharmacies.

Transition to Quarterly Meetings for the Preferred Drug List Review Panel

The next review panel meeting is April 11, 2024

NC Medicaid to Cover Imported Benzathine Benzylpenicillin (Extencilline): Billing Guidelines

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

Over-the-Counter COVID-19 Test for Home Use Pharmacy POS Coverage

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

Additional NC Medicaid Respiratory Syncytial Virus (RSV) Guidelines for 2023-2024

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

Immunizing Pharmacists Enrollment Opening in January 2024

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