RA Messages for June 25, 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 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.