Maryland Medicaid Pharmacy Program
Provider Advisories

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2003 2004 2005 2006 2007 2008 2009

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2010
Date Number Subjects Targeted Provider
March 1, 2010 80 Over the Counter Plan B Coverage  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
February 9, 2010 79 Rubber Stamped Prescribed Are Invalid  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and Pharmacies
January 26 78 Effective handling of Claim Rejections  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies

 

 

2009
Date Number Subjects Targeted Provider
December 18 77 Holiday Closings  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies and Prescribers
October 9 76 Update on mass Adjustments of legend Insulins  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
October 1 75 Over-the-Counter Plan B Coverage Up-Date  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
October 2 74 Some Multisource Brand Name Drugs Preferred Over Generics  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies and Prescribers
October 1 73 Preferred Drug List Effective October 1, 2009  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies and Prescribers
October 1 72 Changes for the Status of Antipsychotic Medication on Preferred Drug List  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers
September 30 71 30-Day Emergency Supply of Atypical Antipsychotics  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
September 24 70 Mass Adjustment for Legend Insulins  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
June 29 69 Changes in Mental Health Carve Out  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies and Prescribers
May 19 68 New Denial Codes for Non-rebatable Drugs, DESI and Obsolete Drugs  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
April 22 67 Not all Generics are Preferred  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies and Prescribers
April 9 66 Preferred Drug List Effective April 1, 2009  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies and Providers
April 7 65 Maryland Medicaid May Cover up to a 30-day Emergency Supply of Atypical Antipsychotics  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
March 24 64 Time Limit Extended for Filing Claims  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
February 18 63 Prescriber NPI Required on Pharmacy Claims, Effective March 1, 2009  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers
February 18 62 Claim Must Have Prescriber NPI  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies

 

2008
Date Number Subjects Targeted Provider
December 22 61 Pharmacy Hotline Holiday Schedule This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
December 9 60 Depo-medroxyprogesterone This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
December 1 59 Payments Delayed One Week This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
September 24 58 30-day Emergency Supply May be Available for Atypical Antipsychotic Prescriptions This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
September 22 57 Required Tamper-resistant Pad Features Effective October 1, 2008   This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
September 22 56 Required Tamper-resistant Prescription Pad Features Effective October 1, 2008   This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers
September 18 55 Automatic Correction of Underpayments for CellCept, Lunesta, Xopenex, Fuseon kit and Travatan Z Claims   This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
September 12 54 Scheduled Down Time for Medicaid Claims Processing System  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
August 20 53 Physician Administered Medications  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers 
July 16 52 Intervention Codes  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies 
July 15 51 Pain Management Agreements  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers 
June 25 50 Information about Formularies, PDL and PAs at Epocrates.com and DHMH website  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers  and Pharmacies
May 2 49 Prescriber NPI  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
April 11 48 POS System Maintenance This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Pharmacies
April 3 47 Preferred Drug List, effective April 1, 2008 This is a PDF file. Adobe Acrobat Reader is required to view PDF files.  Prescribers and Pharmacies
March 26 46 NPI Information for Prescribers  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and Pharmacies
March 7 45 Tamper Resistant Prescription Pad Features to be Phased in Beginning April 1, 2008  This is a PDF file. Adobe Acrobat Reader is required to view PDF files.  Prescribers and all Pharmacies
February 26 44 Reminder:  At Least One Recognized Tamper Resistant Feature Required as of April 1, 2008 on all Written Medical Prescriptions  This is a PDF file. Adobe Acrobat Reader is required to view PDF files.  Prescribers and all Pharmacies
February 12 43 Temporary Technical Difficulty Processing Medstar Family Choice Claims  This is a PDF file. Adobe Acrobat Reader is required to view PDF files.  All Pharmacies
February 6 42 March 1- NPI Required on Claims  This is a PDF file. Adobe Acrobat Reader is required to view PDF files.  Providers

 

2007
Date Number Subjects Targeted Provider
December 27 41 Atypical Antipsychotics, Zyprexa Step Therapy, AIDS/HIV Drugs Carved Out from MCOs, Refills of Controlled Drugs  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Providers and Prescribers

 
October 1 40 Tamper-Resistant Prescription Pads Are Delayed Until April 1, 2008  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
August 29 39 Changes to Preferred Drug List  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
May 9 38 Correction of Underpayments, Over-the-Counter Plan B Coverage, Clinical Criteria for Cymbalta, Coordination of Benefits  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
Apr. 12 37 Possible Underpayments, Unacceptable Prescriber DEA Numbers, Early Refills for Recently Discharged Long Term Care  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
Mar. 28 36 Explanations of Some Claim Rejection Messages, New EVS Inquiry Phone Number, NPI Reminder, and Changes to Preferred Drug List (PDL) effective April 2007  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. All Pharmacies
Feb. 9 35 Late Payments  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. All Pharmacies
Feb. 5 34 New Medicaid POS Claims Processor  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. All Pharmacies
Jan. 24

33

 POS System To Be Shutdown: New Fax Numbers for PAs  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. All Pharmacies
Jan. 17

32

 Reminder - POS Provider Training This is a PDF file. Adobe Acrobat Reader is required to view PDF files. All Pharmacies

 

 

2006
Date Number Subjects Targeted Provider
Dec. 21

31

 New POS Processor; Zocor®; Prescription Transfers; Part D Questions  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. All Pharmacies
Oct. 5

30

 Pharmacy Dispensing Fee Survey  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. All Pharmacies
Sept. 27

29

 Changes to the Preferred Drug List; New EVS System; Narrow Therapeutic Index Drugs  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
July 28

28

 Brand Name PDL Anomalies Useful Medicare Part D Phone Numbers  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
June 29

27

 New Primary Adult Care  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
May 11

26

 New Primary Adult Care Program (PAC) Medicare Part D Exception and Prior Authorization Request Form  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
March 23

25

 Revised Preferred Drug List Transition from Pharmacy Assistance to Medicare Part D  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and All Pharmacies
March 2

24

 Dummy DEA Numbers Medicare Pare D Issues  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. All Pharmacies
Feb. 22

23

 Changes to the Preferred Drug List (PDL) Effective April 2006  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
Jan 10.

22

 Useful Medicare Phone Numbers & Medicaid Coverage of Drug Classes Excluded from Medicare Part D Basic Plans  This is a PDF file. Adobe Acrobat Reader is required to view PDF files. All Pharmacies

 

 

2005
Date Number Subjects Targeted Provider
Dec. 16

21A

 Temporary Suspension of Early Refill Edits for Medicare Recipients This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers
Dec. 14

21

 Temporary Suspension of Early Refill Edits for Medicare Recipients This is a PDF file. Adobe Acrobat Reader is required to view PDF files. All Pharmacies
Nov. 23

20

 Medicare Part D This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
Sept. 16

19

Changes to the Preferred Drug List (PDL) Step Therapy for Stimulants and Related Agents

Revised Quantity Limits for Emend This is a PDF file. Adobe Acrobat Reader is required to view PDF files.

 Prescribers and all Pharmacies
Sept. 12

18

 Hurricane Katrina Evacuees and Maryland Medicaid Program This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
June 23 (Revised June 28)

17

Revised Preferred Drug List

Special Grandfathering for Norvasc, Coreg and Zetia

Safety Concerns for Certain Generics

Antimigraine (Triptan) Quantity Limits This is a PDF file. Adobe Acrobat Reader is required to view PDF files.

 Prescribers and all Pharmacies
April 28

16

 Claims Processing Upgrade Notes This is a PDF file. Adobe Acrobat Reader is required to view PDF files. All Pharmacies
April 13

15

 Planned Claims Processing System Maintenance This is a PDF file. Adobe Acrobat Reader is required to view PDF files. All Pharmacies
March 1

14

 Further Clarification:  Atypical Antipsychotic Dose Optimization Appropriate Use of Palladone Grandfathering Non-Preferred Mental Health Drugs This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
 

 

 2004

Top of Page
Date Number Subjects Targeted Provider
Dec.7 13 Dose Optimizing: Quantity Limits for Atypical Antipsychotic Agents This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
Nov. 5 12 New Cost Containment Initiatives This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
Oct. 27 11 PDL: The Second Year This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
Oct. 6 10 MedWatch Requirement for Brand Medically Necessary Prescriptions This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
July 1 9 PDL Update: Unnecessary Prior Authorization Requests; Instructions for the Pharmacist This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
June 10 8 Changes to Pharmacy Dispensing and Recipient Co-Payments This is a PDF file. Adobe Acrobat Reader is required to view PDF files. All Pharmacies
May 5 7 PDL Update:  Non-preferred Generics; Grandfathering; Exceptions to the 3-Day Emergency Rule; Step Therapy for Phosphate Binders; and Coverage of OTC's This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers and all Pharmacies
Jan. 30 6 Changes in Estimated Acquisition Cost and PDL Compliance Issue This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Community Pharmacies
Jan. 8 5A Preferred Drug List (PDL): Latest Cumulative Update on Therapeutic Classes This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Long-Term Care Pharmacies
Jan. 8 5B Preferred Drug List (PDL): Latest Cumulative Update on Therapeutic Classes This is a PDF file. Adobe Acrobat Reader is required to view PDF files.
PDL Instructions for the Pharmacist		 Community Pharmacies
Jan. 8 5C Preferred Drug List (PDL): Latest Cumulative Update on Therapeutic Classes This is a PDF file. Adobe Acrobat Reader is required to view PDF files. Prescribers
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2003
 

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