RA Messages for October 9, 2001
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
12/9/00 VERSION OF APPENDIX A:
| DRUG |
DOSAGE |
STRGTH |
MAC |
EFF. DATE |
| ALBUTEROL |
AEROSOL |
90MCG |
1.29941 |
09/25/01 |
| ALBUTEROL |
AER REFILL |
90MCG |
1.19941 |
09/25/01 |
| ACETAMIN/CAFF/BUTALB |
CAPSULE |
325-40-50 |
0.39950 |
09/25/01 |
| ACETAMIN/CAFF/BUTALB |
TABLET |
325-40-50 |
0.41445 |
09/25/01 |
| ASPIRIN/CAFF/BUTALB |
CAPSULE |
325-40-50 |
0.63360 |
09/25/01 |
| BENZTROPINE MESYLATE |
TABLET |
0.5MG |
0.07050 |
09/24/01 |
| BENZTROPINE MESYLATE |
TABLET |
1MG |
0.09250 |
09/24/01 |
| BENZTROPINE MESYLATE |
TABLET |
2MG |
0.10270 |
09/24/01 |
| DEXAMETHASONE |
TABLET |
1.5MG (100S +) |
0.29565 |
09/25/01 |
| DEXAMETHASONE |
TABLET |
1.5MG (< 100S) |
OFF MAC |
09/25/01 |
| DISULFIRAM |
TABLET |
250MG |
1.00360 |
09/25/01 |
| INDOMETHACIN |
CAPSULE |
SA 75MG (ALL SIZE) |
OFF MAC |
09/25/01 |
| NEOMYCIN SULFATE |
TABLET |
500MG |
OFF MAC |
09/25/01 |
| PROMETHAZINE |
TABLET |
12.5MG |
OFF MAC |
09/25/01 |
| PROMETHAZINE |
TABLET |
50MG |
0.27180 |
09/25/01 |
| SULFADIAZINE |
TABLET |
500MG |
OFF MAC |
09/25/01 |
PLEASE MAKE THE FOLLOWING CHANGES TO THE
12/9/00 VERSION OF APPENDIX C:
| LABELER |
COMPANY |
BEGIN |
END |
| 08881 |
LEADER |
10/01/01 |
|
| 10019 |
BAXTER HEALTHCARE CORP. |
10/01/01 |
|
| 36652 |
LEADER |
10/01/01 |
|
| 50557 |
PHARMACEUTICAL VENTURES |
10/01/01 |
|
| 53095 |
ICN PHARMACEUTICALS, INC |
|
10/01/01 |
|
54859 |
LLORENS PHARMACEUTICAL
|
10/01/01 |
|
| 56151 |
LEADER |
10/01/01 |
|
| 62865 |
DRUG EMPORIUM, INC |
|
10/01/01 |
| 66215 |
ACTELION PHARMACEUTICALS |
10/01/01 |
|
PLEASE
FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID.
NOTICE TO ALL PROVIDERS
LOUISIANA MEDICAID PROVIDERS GAIN NEW TOOL TO BETTER SERVE THE PUBLIC
BATON ROUGE - ON TUESDAY OCTOBER 2, THE LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS LAUNCHED A NEW LOUISIANA MEDICAID PROVIDER WEBSITE,
WWW.LAMEDICAID.COM. THIS SITE ALLOWS PROVIDERS IN THE LOUISIANA MEDICAID PROGRAM TO QUICKLY ACQUIRE THE MOST CURRENT INFORMATION ABOUT
THE PROGRAM IN ORDER TO BETTER SERVE MEDICAID RECIPIENTS STATEWIDE. LOUISIANA MEDICAID PROVIDER WEBSITE ALSO
INCLUDES BILLING INFORMATION AND PROVIDER TRAINING INFORMATION. FURTHER DEVELOPMENT OF THE WEBSITE
WILL OFFER PROVIDER-SPECIFIC INTERACTIONS, WHICH ARE CURRENTLY HANDLED BY PHONE OR MAIL. THIS NEW SITE WILL WORK IN CONJUNCTION WITH THE
NUMEROUS SERVICES ALREADY PROVIDED ON-LINE THROUGH THE STATE'S MEDICAID PROGRAM AT
HTTP://WWW.DHH.STATE.LA.US/MEDICAID/INDEX.HTM
NOTICE TO PROVIDERS
IN ORDER TO BE REVIEWED AND CONSIDERED FOR PAYMENT, PROVIDERS SUBMITTING
CLAIMS FOR HIV DRUG RESISTANCE TESTING MUST HAVE THE FOLLOWING ATTACHED TO THE CLAIM: (1) THE RESULTS OF THE TESTING (2) PATIENT'S HISTORY
JUSTIFYING THE NEED OF THE TESTING (EXAMPLES ARE (HAART), PREGNANCY, SUBOPTIMAL
SUPPRESSION OF VIRAL LOAD AFTER INITIATION OF ANTIRECTROVIRAL
THERAPY). ** ONE TEST OR COMBINATION OF TESTS IS PAYABLE PER 365 DAYS.