RA Messages for August 26, 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.
PLEASE MAKE THE FOLLOWING CHANGES TO THE
1/01/02 VERSION OF
APPENDIX A:
| DRUG |
DOSAGE |
STRGTH |
MAC |
EFF DATE |
| ACYCLOVIR |
CAPSULE |
200MG |
0.14780 |
08/24/03 |
| ACYCLOVIR |
CAPSULE |
400MG |
0.44250 |
08/24/03 |
| ACYCLOVIR |
CAPSULE |
800MG |
0.87000 |
08/24/03 |
| DESONIDE |
CREAM |
0.05% |
0.23370 |
08/24/03 |
| DESAMETHASONE |
ELIXIR |
0.5MG/5ML |
0.11640 |
08/24/03 |
| ENALAPRIL MALEATE |
TABLET |
2.5MG |
0.30750 |
08/24/03 |
| ENALAPRIL MALEATE |
TABLET |
5MG |
0.54900 |
08/24/03 |
| ENALAPRIL MALEATE |
TABLET |
10MG |
0.68630 |
08/24/03 |
| ENALAPRIL MALEATE |
TABLET |
20MG |
0.91500 |
08/24/03 |
| FLURAZEPAM HCL |
CAPSULE |
15MG |
0.09750 |
08/24/03 |
| FLURAZEPAM HCL |
CAPSULE |
30MG |
0.11480 |
08/24/03 |
| ***HALOPERIDOL TAB |
TABLET |
20MG |
OFF MAC |
08/01/03 |
| HYDROXYZINE HCL |
SYRUP |
10MG/5ML |
0.03670 |
08/24/03 |
| IMIPRAMINE |
TABLET |
10MG |
0.26430 |
08/24/03 |
| IMIPRAMINE |
TABLET |
25MG |
0.35510 |
08/24/03 |
| IMIPRAMINE |
TABLET |
50MG |
0.46040 |
08/24/03 |
| IPRATROPIUM BROMIDE |
SOLUTION |
0.025% |
0.30300 |
08/24/03 |
| LOVASTATIN |
TABLET |
40MG |
OFF MAC |
08/24/03
|
| MEDROXYPROGESTERONE ACET |
TABLET |
10MG |
0.29500 |
08/24/03
|
| NAPROXEN |
TABLET DR |
375MG |
OFF MAC |
08/24/03
|
| NIFEDIPINE |
CAPSULE |
10MG |
0.18750 |
08/24/03 |
| PERPHENAZINE |
TABLET |
2MG |
0.34730 |
08/24/03 |
| PERPHENAZINE |
TABLET |
8MG |
0.63770 |
08/24/03 |
| PERPHENAZINE |
TABLET |
16MG |
1.38330 |
08/24/03 |
| PINDOLOL |
TABLET |
5MG |
0.09600 |
08/24/03 |
| PINDOLOL |
TABLET |
10MG |
0.12680 |
08/24/03 |
| SULFASALAZINE |
TABLET |
500MG |
0.15650 |
08/24/03 |
| THIORIDAZINE HCL |
TABLET |
100MG |
0.49410 |
08/24/03 |
| TRIFLUOROPERAZINE HCL |
TABLET |
1MG |
0.55500 |
08/24/03 |
| TRIFLUOROPERAZINE HCL |
TABLET |
2MG |
0.81045 |
08/24/03 |
| TRIFLUOROPERAZINE HCL |
TABLET |
10MG |
1.55300 |
08/24/03 |
| TRIHEXYPHENIDYL HCL |
TABLET |
5MG |
0.22950 |
08/24/03 |
| VALPROIC ACID |
CAPSULE |
250MG |
0.52500 |
08/24/03 |
PLEASE
MAKE THE FOLLOWING CHANGES TO THE 1/01/02 VERSION OF
APPENDIX C:
| LABELER |
COMPANY |
BEGIN |
END |
| 04142 |
BIOCODEX
INC |
|
10/01/03 |
| 17474 |
TYCO
HEALTHCARE GROUP |
07/01/03 |
|
| 31096 |
D & K
HEALTHCARE RESOURCES |
|
10/01/03 |
| 58552 |
GIL
PHARMACEUTICAL |
10/01/01 |
|
| 61073 |
AMKAS
LABORATORIES |
|
10/01/03 |
| 61442 |
CARLSBAD
TECHNOLOGY, INC |
|
10/01/03 |
| 64054 |
AM2PAT,
INC |
|
10/01/03 |
| 65757 |
TRANSKARYOTIC
THERAPIES, INC |
|
10/01/03 |
| 65976 |
ORAPHARMA,
INC |
|
10/01/03 |
| 66239 |
SCIENTIFIC
LABORATORIES, INC |
|
10/01/03 |
| 66460 |
NUPHARMX
LLC |
|
10/01/03 |
| 66689 |
VISTAPHAM,
INC |
|
10/01/03 |
| 66779 |
REGENT
LABS, INC |
|
10/01/03 |
| 66825 |
BIOCODEX
INC |
|
10/01/03 |
| 67767 |
ABRIKA
PHARMACEUTICALS, LLLP |
10/01/01 |
|
| 67800 |
CORIXA
CORPORATION |
10/01/01 |
|
| 67871 |
QOL
MEDICAL |
10/01/03 |
|
| 68047 |
LARKEN LABORATORIES, INC |
10/01/01 |
|
PLEASE FILE ADJUSTMENTS FOR CLAIMS WHICH MAY HAVE BEEN INCORRECTLY PAID.
MEDICAID PROVIDER TRAINING WORKSHOPS
THE NEXT SERIES OF MEDICAID PROVIDER TRAINING WORKSHOPS WILL TAKE PLACE
8/26-NEW ORLEANS, 8/27-LAFAYETTE, 8/29-BATON ROUGE, 9/3-MONROE, AND 9/4-
BOSSIER. KIDMED, PROFESSIONAL, HOSPICE, LTC, AND COMMUNITYCARE PROVIDERS SHOULD ATTEND THE APPLICABLE
TRAINING. BILLING CHANGES WILL BE EXPLAINED THAT WILL AFFECT YOUR MEDICAID
PAYMENT. GO TO WWW.LAMEDICAID.COM SELECT 2003 PROVIDER TRAINING MATERIALS TO OBTAIN FURTHER INFORMATION.****THE
HOME HEALTH WORKSHOPS SCHEDULED FOR THIS TRAINING SERIES HAVE BEEN CANCELLED. WE APOLOGIZE FOR ANY INCONVENIENCE THIS MAY CAUSE.****
REMINDER TO ALL HOME HEALTH PROVIDERS
HOME HEALTH AGENCIES ARE NOT TO BILL MEDICAID FOR REHABILITATION IN
NURSING HOMES. AS PER THE CODE OF FEDERAL REGULATIONS, SECTION 440.70, "A RECIPIENT'S PLACE OF RESIDENCE, FOR HOME HEALTH SERVICES, DOES NOT
INCLUDE A HOSPITAL, NURSING FACILITY, OR INTERMEDICATE CARE FACILITY FOR THE MENTALLY RETARDED."
NOTICE TO PROVIDERS OF PROFESSIONAL SERVICES
THE UNITS FOR PROCEDURE CODE 77418 (RADIATION TX DELIVERY, IMRT) WERE
INCREASED FROM 1 TO 2 EFFECTIVE WITH DATE OF SERVICE AUGUST 1, 2003.
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.