RA Messages for October 31, 2000
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 MAKE THE FOLLOWING CHANGES TO THE 5/15/00 VERSION OF
APPENDIX A:
| DRUG |
DOSAGE |
STRGTH |
MAC |
EFF.DATE |
| AZELASTINE HCL |
DROPS |
0.05% |
|
08/18/00 |
| BECLOMETHASONE DIPROP. |
AER W/ADAPT |
40MCG;80MCG |
|
10/02/00 |
| BUDESONIDE |
AMP |
0.25MG/2ML |
|
10/02/0
0
|
| BUDESONIDE |
NEB |
0.5MG/2ML |
|
10/02/00 |
| CANDESARTAN CILEXETIL/HCTZ |
TAB |
16-12.5MG;32-12.5MG |
|
10/16/00 |
| CEFDINIR |
CAP |
300MG |
|
08/30/00 |
| DIVALPROEX SODIUM |
TAB SA |
500MG |
|
08/18/00 |
| DOXERCALCIFEROL |
AMP |
2MCG/ML;4MCG/ML |
|
08/28/00 |
| FILGRASTIM |
DISP SYR |
300MCG/0.5;480MCG/0.5 |
|
09/11/00 |
| METHYLPREDNISOLONE |
TAB DS PK |
4MG |
|
09/01/00 |
| MIDAZOLAM HCL |
VIAL |
5MG/ML |
|
06/21/00 |
| OLANZADINE |
TAB DISPER |
5MG;10MG |
|
09/18/00 |
| OXYCODONE HCL |
TAB |
15MG;30MG |
|
10/02/00 |
| RITONAVIR/LOPINAVIR |
CAP |
33.3-133.3 |
|
09/19/00 |
| RITONAVIR/LOPINAVIR |
SOL |
100-400/5 |
|
09/19/00 |
| SEVELAMER HCL |
TAB
|
400MG
|
|
09/25/00
|
| SEVELAMER HCL |
TAB |
800MG |
|
09/25/00
|
PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN
INCORRECTLY PAID.
PHARMACY PROVIDERS
IF YOU ARE INTERESTED IN FULLY SETTLING YOUR NEGATIVE BALANCE IN
ACCORDANCE WITH THE MEDICAID SPENDING REDUCTION PLAN FOR ACCOUNTING AND BOOKKEEPING PURPOSES, FOR DATES OF PAYMENT FROM MARCH 23, 2000
THROUGH JUNE 30, 2000, PLEASE FAX YOUR REQUEST TO M.J. TERREBONE AT
225-342-3893
OR CONTACT HER AT 225-342-9768 BY NOVEMBER 14, 2000.