RA Messages for June 18, 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 0F APPENDIX A:

DRUG  DOSAGE STRGTH MAC  EFF. DATE
PROMETHAZINE HCL TABLET 25MG OFF MAC 06/01/02 
PROMETHAZINE HCL TABLET 50MG  OFF MAC 06/01/02 

PLEASE MAKE THE FOLLOWING CHANGES TO THE 1/1/02 VERSION 0F APPENDIX B: 

NDC  TRADENAME    DOSAGE
00591-4007-01 CLIDINIUM BR/CHLORDIAZEPOXIDE  CAPSULE 
00591-4007-05  CLIDINIUM BR/CHLORDIAZEPOXIDE  CAPSULE
00603-1636-58 GUAIFENESIN/PHENYLEPHRINE/HCOD   SYRUP
47028-0057-16 GUAIFEN/KG/DM/P-EPHEDRINE/CP LIQUID 

PLEASE MAKE THE FOLLOWING CHANGES TO THE 1/1/02 VERSION 0F APPENDIX C:

LABELER  COMPANY  BEGIN  END 
21200 3M PHARMACEUTICALS     7/1/02 
51131 3M PHARMACEUTICALS    7/1/02 
64054 EMT-RX  7/1/02   
65005 PTS LABS   7/1/02 
66825 BIOCODEX INCORPORATED 7/1/02    
66869  PROETHIC LABORATORIES 7/1/02    

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