RA Messages for August 31, 1999
Pharmacy Provider, 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 8/15/98 version of
Appendix A:
| Drug |
Dosage |
Strength |
MAC |
Eff. Date |
| ACEMANNAN/ASPARTAME |
SOLN RECON |
|
|
06/01/99 |
| FENOFIBRATE, MICRONIZED |
CAPSULE |
200 MG |
|
08/16/99 |
| NAPROXEN SODIUM |
TABLET SA |
412.5 MG; 550 MG |
|
05/01/99 |
Please make the following changes to the 8/15/98 version
of Appendix C:
| LABELER |
COMPANY |
BEGIN |
END |
| 48878 |
OMNII PRODUCTS |
10/01/99 |
|
| 55966 |
PDK LABS, INCORPORATED |
|
10/01/99 |
| 58211 |
TOPIX PHARMACEUTICALS, INC. |
10/01/99 |
|
| 60429 |
GOLDEN STATE MEDICAL SUPPLY COMPANY |
|
10/01/99 |
| 60814 |
REXALL SUNDOWN, INCORPORATED |
|
10/01/99 |
| 64011 |
THER-RX CORPORATION |
10/01/99 |
|
| 64899 |
WALSH DISTRIBUTION, INC. |
10/01/99 |
|
| 64980 |
RISING PHARMACEUTICAL. INC. |
10/01/99 |
|
Please file adjustments for claims which may have been
incorrectly paid.
Pharmacy Providers - Xenical Diagnosis Clarification
- Edit #020
The Diagnosis ICD-9 Code submitted on a prescription claim must
match exactly the ICD-9 diagnosis code written by the prescriber on the
prescription. DHH will only pay for valid ICD-9 codes listed in the most
current ICD-9-CM text.
Notice to Home Health Agencies
FIMS # 55779
The June/July issue of the Louisiana Medicaid Provider Update includes an
article to Home Health Agencies entitled "RN Qualifications for Psychiatric
Home Health Visits."
The last paragraph of this article includes an incorrect statement./
The correct wording of the last paragraph is "Additionally , the services
must be medically necessary and provided only to recipients who meet Medicaid's
homebound criteria."
We apologize for any inconvenience this may have caused.