RA Messages for May 1, 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 |
| CARBIDOPA/LEVODOPA |
TAB |
10-100MG |
0.36450 |
04/17/01 |
| CARBIDOPA/LEVODOPA |
TAB |
25-100MG |
0.39150 |
04/17/01 |
| CARBIDOPA/LEVODOPA |
TAB |
25-250MG |
0.46570 |
04/17/01 |
| CEPHALEXIN MONOHYDRATE |
SUSP RECON |
125MG/5ML |
0.06312 |
04/17/01 |
| CEPHALEXIN MONOHYDRATE |
SUSP RECON |
250MG/5ML100S |
0.12250 |
04/17/01 |
| CEPHALEXIN MONOHYDRATE |
SUSP RECON |
250MG/5ML
200S |
0.11600 |
04/17/01 |
| CODEINE PHOS/APAP |
TAB |
30-300MG |
0.14650 |
04/17/01 |
| CODEINE PHOS/APAP |
TAB |
60-300MG |
0.23640 |
04/17/01 |
| HALOPERIDOL |
TAB |
10MG |
0.65000 |
04/17/01 |
| ISONIAZID |
TAB |
300MG |
0.06720 |
04/17/01 |
| METOCLOPRAMIDE HCL |
TAB |
10MG |
0.04350 |
04/17/01 |
| NEOMY SULF/GRAMICID |
D/POLY DROPS |
1.85250 |
|
04/17/01 |
| NYSTATIN |
TAB |
500MU |
0.47170 |
04/17/01 |
| PENICILLIN V POTASSIUM |
TAB |
250MG |
0.07200 |
04/17/01 |
| PROCAINAMIDE HCL |
TAB SA |
500MG |
0.26920 |
04/17/01 |
| TRIMETHOPRIM |
TAB |
100MG |
0.23350 |
04/17/01 |
PLEASE
MAKE THE FOLLOWING CHANGES TO THE 12/9/00 VERSION OF APPENDIX C:
| LABELER |
COMPANY |
BEGIN |
END |
| 00591 |
WATSON PHARMA, INC |
|
|
| 49580 |
AARON
INDUSTRIES, INC |
|
|
| 61607 |
INKINE PHARMACEUTICALS |
07/01/01 |
|
| 65293 |
THE MEDICINES COMPANY |
07/01/01 |
|
| 65430 |
DEX GEN PHARMACEUTICALS, INC |
07/01/01 |
|
PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN
INCORRECTLY PAID.
ATTENTION PHARMACY PROVIDERS
THE PHARMACY BENEFITS MANAGEMENT SECTION HAS RESTRUCTURED. WE ARE PROVIDING YOU WITH UPDATED CONTACT INFORMATION.
M.J. TERREBONNE, PHARMACY DIRECTOR - 225/342-9768
RACHEL BROUSSARD, POLICY AND OPERATIONS - 225/342-9768
MELWYN WENDT, AUDITS AND LOCK-IN - 225/219-4156
GALE NADLER, LOCK-IN - 225/219-4156
TIMOTHY WILLIAMS, REBATE - 225/342-5194
GERALYN STOCKSTILL - 225/342-6046
RECIPIENT FILE CHANGES (CO-PAY EXPEMTION REQUESTS, TRANSPLANT DATES)
FAX NUMBER - 225/342-1980
NOTICE TO DME PROVIDERS
EFFECTIVE WITH DATES OF SERVICE APRIL 6, 2001 AND AFTER, THE
BUREAU HAS INCREASED THE REIMBURSEMENT FOR OSTOMY SUPPLIES (HCPCS A4360-A4421,
A5051-A5149, K0137-K0139, K0278-K0280 AND K0421-K0437) TO 80% OF THE MEDICARE
FEE SCHEDULE, 80% OF THE MSRP OR BILLED CHARGES, WHICHEVER IS LESS.
NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES
EFFECTIVE WITH DATE OF SERVICE JUNE 1, 2001, CPT CODES 82044, 82055, AND
82962 WILL REQUIRE A QW MODIFIER.