Provider guidance for reimbursement, enrollment and providing care for Medicaid beneficiaries
Topics Related to Pharmacy Providers
Clinical Coverage Pharmacy Policy 9 will allow for donation of abandoned Long-Acting Injectable Antipsychotics to a registered Drug Repository Program
Effective with date of service, March 6, 2023, Medicaid and NC Health Choice cover flortaucipir F 18 injection.
On/Go COVID-19 HOME COLLECT KIT added to coverage.
Lantus® SoloStar® / Vial will move to preferred on the NC Medicaid Preferred Drug List, effective March 24, 2023.
As of April 1, 2023, all NC Health Choice beneficiaries with active eligibility will be moved to Medicaid.
Tobacco-related policy requirements go into effect on April 1, 2024.
PIXEL COVID-19 Home Collection Kit Change
Note: This bulletin is replaced by NC Health Choice Move to Medicaid: Timeline for Claims Adjudication and Process for Prior Approvals.
Includes Pharmacy Point of Sale, Physician Administered Drug Program and Outpatient Hospital Pharmacy