PHARMACY PROVIDERS, PLEASE
NOTE!!!
If you are unsure about the coverage
of a drug product, please contact the PBM help desk at 1-800-648-0790.
Please file adjustments for claims
that may have been incorrectly paid. Only those products of the manufacturers
which participate in the Federal Rebate Program will be covered by the Medicaid
program. Participation may be verified in Appendix C, available at
http://www.lamedicaid.com.
Should you have any questions
regarding any of the following messages, please contact Gainwell Technologies at (800) 473-2783 or (225) 924-5040.
For information regarding the medication policy and/or criteria associated with this denial, providers
may access the Louisiana Medicaid Preferred Drug List (PDL) / Non-Preferred Drug List at
http://ldh.la.gov/assets/HealthyLa/Pharmacy/PDL.pdf.
Attention Vision (Eyewear) Providers
Billing guidance for fee-for-service vision (eyewear) claims is now available on www.lamedicaid.com. Providers may locate the document from the home page via Claims and Billing, Billing Information, and selecting the link under the Billing Index for Vision (Eyewear).
For additional assistance with billing fee-for-service vision (eyewear) claims, providers must contact Gainwell Technologies’ Provider Relations staff at (225) 924-3040 or 1 (800) 473-2783.