RA Messages for November 4, 2003

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.

ATTN: PHARMACY PROVIDERS

PLEASE MAKE THE FOLLOWING CHANGES TO THE 1/1/02 VERSION OF APPENDIX A:

DRUG DOSAGE STRGTH MAC EFF DATE
ASPIRIN/CAFFEINE/BUTALBITAL TABLET 325-40-50 .24000 11/02/03
FLUOCINOLONE ACETONIDE 60ML SOL 0.01% .17999 11/02/03
GRISEOFULVIN ULTRAMICROSIZE TABLET 250MG OFF MAC 10/01/03
IPRATROPIUM BROMIDE SOL 0.2MG/ML .23400 11/02/03
LOVASTATIN TABLET 40MG 3.20120 11/02/03
PINDOLOL TABLET 5MG .69300 11/02/03
PINDOLOL TABLET 10MG .93520 11/02/03
PROCAINAMIDE HCL CAPSULE 500MG OFF MAC 10/01/03
PROPOXYPHENE/ACETAMINOPHEN TABLET 100-65MG .18000 11/02/03

PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID.

HOME AND COMMUNITY-BASED WAIVER SERVICES

FOR INFORMATION ABOUT HOME AND COMMUNITY-BASED WAIVER SERVICES AS AN 
ALTERNATIVE LONG TERM CARE OPTION, PLEASE CALL 1-800-660-0488.

NOTICE TO CERTIFIED NURSE MIDWIVES

EFFECTIVE WITH DATE OF SERVICE FEBRUARY 1, 2003, THE FOLLOWING CPT CODES WERE ADDED TO THE LIST OF CODES PAYABLE TO CERTIFIED NURSE MIDWIVES.  DENIALS RECEIVED AFTER DATE OF SERVICE FEBRUARY 1, 2003 MAY BE RESUBMITTED.

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