RA Messages for March 5, 2002
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 1/1/02 VERSION OF
APPENDIX A:
DRUG |
DOSAGE |
STRGTH |
MAC |
EFF. DATE |
ALBUTEROL SULFATE |
TABLET |
2MG |
0.0477 |
03/05/02 |
ALBUTEROL SULFATE |
TABLET |
4MG |
0.0900 |
03/05/02 |
ALLOPURINOL |
TABLET |
100MG |
0.0784 |
03/05/02 |
AMITRIPTYLINE HCL |
TABLET |
10MG |
0.0570 |
03/05/02 |
AMOXICILLIN TRIHYDRATE |
SUSP RECON |
125MG/5ML 150ML |
0.0201 |
03/05/02 |
ATENOLOL |
TABLET |
100MG |
0.0750 |
03/05/02 |
BENZTROPINE MESYLATE |
TABLET |
1MG |
0.0930 |
01/10/02 |
BENZTROPINE MESYLATE |
TABLET |
1MG |
0.1403 |
03/05/02 |
BENZTROPINE MESYLATE |
TABLET |
2MG |
0.1767 |
03/05/02 |
CIMETIDINE HCL |
LIQUID |
300MG/5ML |
0.1139 |
03/05/02 |
FUROSEMIDE |
TABLET |
20MG |
0.0563 |
03/05/02 |
FUROSEMIDE |
TABLET |
40MG |
0.05915 |
03/05/02 |
ISOSORBIDE MONONITRATE |
TABLET |
20MG |
0.4950 |
03/05/02 |
METHENAMINE HIPPURATE |
TABLET |
1GM |
OFF MAC |
07/01/92 |
METHENAMINE MANDELATE |
TABLET |
1GM |
0.2923 |
03/05/02 |
NAPROXEN |
TABLET |
500MG |
0.1792 |
03/05/02 |
NEOMY SULF/POLYMYX B SULF/HC |
DROPS |
SUSP |
OFF MAC |
02/26/02 |
NYSTATIN |
ORAL SUSP |
100MU/ML |
0.08500 |
01/22/02 |
PRIMIDONE |
TABLET |
250MG |
0.3798 |
03/05/02 |
PROMETHAZINE HCL |
INJ |
50MG/ML |
OFF MAC |
01/10/02 |
PROPANOLOL HCL |
TABLET |
60MG |
OFF MAC |
02/26/02 |
PLEASE MAKE THE FOLLOWING CHANGES TO THE 1/1/02 VERSION OF APPENDIX C:
LABELER
|
COMPANY |
BEGIN |
END |
00263
|
INTEGRA LIFESCIENCES COMPANY
|
|
04/01/02 |
00524
|
KNOLL PHARMACEUTICAL |
|
04/01/02 |
00662
|
PFIZER PHARMACEUTICALS GROUP |
|
04/01/02 |
00663
|
PFIZER PHARMACEUTICALS GROUP
|
|
04/01/02 |
00761
|
BASIC DRUGS, INC |
|
04/01/02 |
10337
|
DOAK DERMATOLOGICS DIV OF BRADLEY |
|
04/01/02 |
11414
|
BAKER NORTON PHARMACEUTICALS |
|
04/01/02 |
11793
|
AVENTIS PASTEUR, INC |
|
04/01/02 |
52891
|
BAKER NORTON PHARMACEUTICALS |
|
04/01/02 |
54162
|
GERITREX CORPORATION |
|
04/01/02 |
55298
|
3M PHARMACEUTICALS
|
04/01/02 |
|
58174
|
BAKER CUMMINS DERMATOLOGICALS, INC |
|
04/01/02 |
58948
|
L. PERRIGO COMPANY |
|
04/01/02 |
59012
|
PFIZER PHARMACEUTICALS GROUP |
|
04/01/02 |
64406
|
IDEC PHARMACEUTICALS |
04/01/02 |
|
65893
|
CODY LABORATORIES, INC |
07/01/02 |
|
66203
|
ORGANON SANOFI-SYNTHELABO |
04/01/02 |
|
66530
|
SPEAR DERMATOLOGY PRODUCTS |
04/01/02 |
|
66813
|
ATHLON PHARMACEUTICALS |
07/01/02 |
|
70030
|
L. PERRIGO COMPANY |
|
04/01/02 |
71114
|
CIRCA PHARMACEUTICALS |
|
04/01/02 |
PLEASE FILE ADJUSTMENTS FOR
CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID
PHARMACY PROVIDERS NOTICE
THE PROVIDER WEBSITE ENROLLMENT CERTIFICATION FORM
WHICH ACCOMPANIED THE LETTER DATED FEBRUARY 22,2002 DID NOT INCLUDE THE COMPLETE
MAILING ADDRESS FOR UNISYS CORPORATION. A CORRECTION HAS BEEN MADE TO THIS FORM
AND MAY BE OBTAINED VIA THE WEBSITE WWW.LAMEDICAID.COM. THE CORRECT
ADDRESS IS AS FOLLOWS:
UNISYS CORPORATION
ATTENTION: PROVIDER WEBSITE
P. O. BOX 91019
BATON ROUGE, LA 70821-9019
IMPORTANT NEWS ABOUT COMMUNITYCARE
LINKAGES TO COMMUNITYCARE DOCTORS ARE NOT YET IN EFFECT FOR RECIPIENTS IN THE
FOLLOWING PARISHES: ST. HELENA, LIVINGSTON, TANGIPAHOA, WASHINGTON, AND
ST. TAMMANY. WE ANTICIPATE LINKAGES WILL BE IN EFFECT APRIL 1.