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TO: Pharmacies,
Physicians, Physician Assistants, Nurse Practitioners, Oral Surgeons,
Optometrists, Dentists, FQHCs, RHCs, Mental Health Service Providers and
Nursing Homes
Effective July 1, 2020 the Alabama Medicaid
Agency will:
1. Allow certain medications within
the Three-Month Maintenance Supply program to be dispensed with a day’s supply in
a range from 80 days up to 90 days depending on the dosage of the medication prescribed. All existing
policies regarding the maintenance supply program will remain in effect. Medications
that will be included in this update are listed below.
· Insulins
2. Include dornase alfa (Pulmozyme), all
oral formulations of
mycophenolate, all oral formulations of tacrolimus, and all
oral
formulations of ursodiol in the mandatory three-month supply
program. Prescriptions
for three-month maintenance supply medications will
not count toward the
monthly prescription limit. A maintenance supply
prescription will be required
after 60 days’ stable therapy. Please see the
website for a complete listing of
maintenance supply medications.
Policy questions concerning this provider notice should be
directed to the Pharmacy Program at(334) 242-5050. Questions regarding PA procedures should be
directed to the HID help desk at1-800-748-0130.
The Current Procedural Terminology (CPT) and Current Dental Terminology
(CDT) codes descriptors, and other data are copyright © 2017 American Medical
Association and © 2017 American Dental Association (or such other date publication of CPT
and CDT). All rights reserved. Applicable FARS/DFARS apply.