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Top of Page 2004 Provider Advisories 2012 Date Number Subjects Targeted Provider ​June 27, 2012 ​113 ​Preferred Drug List July 1, 2012 ​Prescribers and Pharmacies June 8, 2012 112 Updates to List of Brand Drugs Preferred vs Generics on the Maryland Medicaid Preferred Pharmacies and Prescribers May 30, 2012 111 Lipitor No Longer Brand Preferred on Maryland Medicaid Preferred Drug List Prescribers and Pharmacies April 25, 2012 110 Medicaid Prefers Brands Lexapro and Geodon Pharmacies and Prescribers February 3, 2012 109 Medicaid Temporarily Authorizes Brand Prevacid Solutabs Prescribers and Pharmacies January 4, 2012 108 Late Refills for HIV Drugs - Again Pharmacies 2011 Date Number Subjects Targeted Provider February 3, 2012 ​109 ​Medicaid Temporarily Authorizes Brand Prevacid Solutabs ​Prescribers and Pharmacies ​​ January 4, 2012 ​108 ​Late Refills for HIV Drugs - Again ​Pharmacies December 29, 2011 107 Preferred Drug List Update Pharmacies and Prescribers December 29, 2011 106 Cost of Dispensing Analysis Pharmacies December 21, 2011 105 Holiday Payment Schedule Pharmacies December 20, 2011 104 Transition to D.0 Pharmacies December 20, 2011 103 Transition to D.0 for LTC Pharmacies Pharmacies December 13, 2011 102 Changes in Preferred Multisource Brands on PDL, Use DAW 6 Prescribers and Pharmacies December 5, 2011 101 Clarify Regulation Changes Pharmacies November 30, 2011 100 Pharmacy Services Regulation Changes Pharmacies November 4, 2011 99 Late Refills for HIV/AIDS Medications Pharmacies and Prescribers October 7, 2011 98 Peer Review Program for Antipsychotics Pharmacies and Prescribers June 30, 2011 97 Preferred Drug List Update Pharmacies and Prescribers June 29, 2011 96 Dispensing Fee Changes All Pharmacies June 28, 2011 95 Preferred Brands on the PDL, Use DAW 6 Pharmacies and Prescribers June 27, 2011 94 Corrective Managed Care Programs and Misuse of Controlled Substances Pharmacies June 23, 2011 93 Quantity Limits and Dose Optimization Physicians and Pharmacies May 13, 2011 92 OIG Audits Pharmacies May 13, 2011 91 List of Preferred Multisource Brands Has Changed Prescribers and Pharmacies April 29, 2011 90 Notice of Survey for Dispensing Fee Pharmacies March 23, 2011 89 Kapvay for Ages 6-17 Moved to Mental Health Carve-Out Pharmacies and Prescribers February 25, 2011 88 Important Changes Related to Prior Authorization Requests for Fee-for-Service Members Pharmacies and Prescribers 2010 Date Number Subjects Targeted Provider September 30, 2010 87 Generic vs Brand on the Preferred Drug List Prescribers and Pharmacies September 30, 2010 86 Updated Preferred Drug List Effective October 1, 2010 Prescribers and Pharmacies July 19, 2010 85 Reminder: Tamper Resistant Prescriptions Required for Medicaid Rx Prescribers and Pharmacies June 28, 2010 84 Intuniv Moved to Mental Health Formulary for MCO Members Aged 6-17 Effective July 1, 2010 Prescribers and Pharmacies April 16, 2010 83 Limited Coverage of OTC Drugs for Dual Eligibles Prescribers and Pharmacies April 1, 2010 82 Few Exceptions to Generic Substitution Prescribers and Pharmacies March 31, 2010 81 Preferred Drug List Effective April 1, 2010 Prescribers and Pharmacies March 1, 2010 80 Over the Counter Plan B Coverage Pharmacies February 9, 2010 79 Rubber Stamped Prescribed Are Invalid Prescribers and Pharmacies January 26 78 Effective handling of Claim Rejections Pharmacies 2009 Date Number Subjects Targeted Provider December 18 77 Holiday Closings Pharmacies and Prescribers October 9 76 Update on mass Adjustments of legend Insulins Pharmacies October 1 75 Over-the-Counter Plan B Coverage Up-Date Pharmacies October 2 74 Some Multisource Brand Name Drugs Preferred Over Generics Pharmacies and Prescribers October 1 73 Preferred Drug List Effective October 1, 2009 Pharmacies and Prescribers October 1 72 Changes for the Status of Antipsychotic Medication on Preferred Drug List Prescribers September 30 71 30-Day Emergency Supply of Atypical Antipsychotics Pharmacies September 24 70 Mass Adjustment for Legend Insulins Pharmacies June 29 69 Changes in Mental Health Carve Out Pharmacies and Prescribers May 19 68 New Denial Codes for Non-rebatable Drugs, DESI and Obsolete Drugs Pharmacies April 22 67 Not all Generics are Preferred Pharmacies and Prescribers April 9 66 Preferred Drug List Effective April 1, 2009 Pharmacies and Providers April 7 65 Maryland Medicaid May Cover up to a 30-day Emergency Supply of Atypical Antipsychotics Pharmacies March 24 64 Time Limit Extended for Filing Claims Pharmacies February 18 63 Prescriber NPI Required on Pharmacy Claims, Effective March 1, 2009 Prescribers February 18 62 Claim Must Have Prescriber NPI Pharmacies 2008 Date Number Subjects Targeted Provider December 22 61 Pharmacy Hotline Holiday Schedule Pharmacies December 9 60 Depo-medroxyprogesterone Pharmacies December 1 59 Payments Delayed One Week Pharmacies September 24 58 30-day Emergency Supply May be Available for Atypical Antipsychotic Prescriptions Pharmacies September 22 57 Required Tamper-resistant Pad Features Effective October 1, 2008 Pharmacies September 22 56 Required Tamper-resistant Prescription Pad Features Effective October 1, 2008 Prescribers September 18 55 Automatic Correction of Underpayments for CellCept, Lunesta, Xopenex, Fuseon kit and Travatan Z Claims Pharmacies September 12 54 Scheduled Down Time for Medicaid Claims Processing System Pharmacies August 20 53 Physician Administered Medications Prescribers July 16 52 Intervention Codes Pharmacies July 15 51 Pain Management Agreements Prescribers June 25 50 Information about Formularies, PDL and PAs at Epocrates.com and DHMH website Prescribers and Pharmacies May 2 49 Prescriber NPI Pharmacies April 11 48 POS System Maintenance Pharmacies April 3 47 Preferred Drug List, effective April 1, 2008 Prescribers and Pharmacies March 26 46 NPI Information for Prescribers Prescribers and Pharmacies March 7 45 Tamper Resistant Prescription Pad Features to be Phased in Beginning April 1, 2008 Prescribers and all Pharmacies February 26 44 Reminder: At Least One Recognized Tamper Resistant Feature Required as of April 1, 2008 on all Written Medical Prescriptions Prescribers and all Pharmacies February 12 43 Temporary Technical Difficulty Processing Medstar Family Choice Claims All Pharmacies February 6 42 March 1- NPI Required on Claims Providers 2007 Date Number Subjects Targeted Provider December 27 41 Atypical Antipsychotics, Zyprexa Step Therapy, AIDS/HIV Drugs Carved Out from MCOs, Refills of Controlled Drugs Providers and Prescribers October 1 40 Tamper-Resistant Prescription Pads Are Delayed Until April 1, 2008 Prescribers and all Pharmacies August 29 39 Changes to Preferred Drug List Prescribers and all Pharmacies May 9 38 Correction of Underpayments, Over-the-Counter Plan B Coverage, Clinical Criteria for Cymbalta, Coordination of Benefits Prescribers and all Pharmacies Apr. 12 37 Possible Underpayments, Unacceptable Prescriber DEA Numbers, Early Refills for Recently Discharged Long Term Care Prescribers and all Pharmacies Mar. 28 36 Explanations of Some Claim Rejection Messages,New EVS Inquiry Phone Number, NPI Reminder, and Changes to Preferred Drug List (PDL) effective April 2007 All Pharmacies Feb. 9 35 Late Payments All Pharmacies Feb. 5 34 New Medicaid POS Claims Processor All Pharmacies Jan. 24 33 POS System To Be Shutdown: New Fax Numbers for PAs All Pharmacies Jan. 17 32 Reminder - POS Provider Training All Pharmacies 2006 Date Number Subjects Targeted Provider Dec. 21 31 New POS Processor; Zocor®; Prescription Transfers; Part D Questions All Pharmacies Oct. 5 30 Pharmacy Dispensing Fee Survey All Pharmacies Sept. 27 29 Changes to the Preferred Drug List; New EVS System; Narrow Therapeutic Index Drugs Prescribers and all Pharmacies July 28 28 Brand Name PDL Anomalies Useful Medicare Part D Phone Numbers Prescribers and all Pharmacies June 29 27 New Primary Adult Care Prescribers and all Pharmacies May 11 26 New Primary Adult Care Program (PAC) Medicare Part D Exception and Prior Authorization Request Form Prescribers and all Pharmacies March 23 25 Revised Preferred Drug List Transition from Pharmacy Assistance to Medicare Part D Prescribers and All Pharmacies March 2 24 Dummy DEA Numbers Medicare Pare D Issues All Pharmacies Feb. 22 23 Changes to the Preferred Drug List (PDL) Effective April 2006 Prescribers and all Pharmacies Jan 10. 22 Useful Medicare Phone Numbers & Medicaid Coverage of Drug Classes Excluded from Medicare Part D Basic Plans All Pharmacies 2005 Date Number Subjects Targeted Provider Dec. 16 21A Temporary Suspension of Early Refill Edits for Medicare Recipients Prescribers Dec. 14 21 Temporary Suspension of Early Refill Edits for Medicare Recipients All Pharmacies Nov. 23 20 Medicare Part D Prescribers and all Pharmacies Sept. 16 19 Changes to the Preferred Drug List (PDL) Step Therapy for Stimulants and Related Agents Revised Quantity Limits for Emend Prescribers and all Pharmacies Sept. 12 18 Hurricane Katrina Evacuees and Maryland Medicaid Program Prescribers and all Pharmacies June 23 (Revised June 28) 17 Revised Preferred Drug List Special Grandfathering for Norvasc, Coreg and Zetia Safety Concerns for Certain Generics Antimigraine (Triptan) Quantity Limits Prescribers and all Pharmacies April 28 16 Claims Processing Upgrade Notes All Pharmacies April 13 15 Planned Claims Processing System Maintenance All Pharmacies March 1 14 Further Clarification: Atypical Antipsychotic Dose Optimization Appropriate Use of Palladone Grandfathering Non-Preferred Mental Health Drugs Prescribers and all Pharmacies Date Number Subjects Targeted Provider Dec. 7 13 Dose Optimizing: Quantity limits for Atypical Antipsychotic Agents Prescribers and all Pharmacies Nov. 5 12 New cost Containment Initiatives Prescribers and all Pharmacies Oct. 27 12 PDL: The secont year Prescribers and all Pharmacies Oct.6 10 MedWatch Requirement for Brand Medically Necessary Prescriptions Prescribers and all Pharmacies July. 1 9 PDL Update: Unnecessary Prior Authorization Requests: Instructions for the Pharmacist Prescribers and all Pharmacies June 10 8 Changes to Pharmacy Dispensing and Recipient Co-Payments All Pharmacies May 5 7 PDL Update: Non-preferred Generics; Grandfathering; Exceptions to the 3-Day Emergency Rule; Step Therapy for Phosphate Binders; and Coverage of OTC's Prescribers and all Pharmacies Jan 30 6 Changes in Estimated Acquisition Cost and PDL Compliance Issue Community Pharmacies Jan 8 5 Preferred Drug List (PDL): Latest Cumulative Update on Therapeutic Classes Long-term Care Pharmacies Jan 8 5 Preferred Drug List (PDL): Latest Cumulative Update on Therapeutic Classes Long-term Care Pharmacies 2003 Date Number Subjects Targeted Provider Dec. 12 4 Revised Preferred Drug List (PDL): Cumulative Update for Prescribers Prescribers Nov. 3 3 Preferred Drug List (PDL Implementation) PDL Instructions for the Prescriber Prescribers Oct. 31 2 Preferred Drug List (PDL Implementation) PDL Instructions for the Pharmacist Community Pharmacies Oct. 9 1 Change in Pharmacy Assistance Co-pay Community Pharmacies

 

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