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 file adjustments for claims that may have been incorrectly paid. Only those products of the manufacturers which participate in the Federal Rebate Program will be covered by the Medicaid program. Participation may be verified in Appendix C, available at www.lamedicaid.com


ATTENTION PROFESSIONAL, DME, HOSPITAL, AND HEMODIALYSIS PROVIDERS
THAT MUST BILL CLAIMS USING NATIONAL DRUG CODES (NDC)

Effective with the remittance advice (RA) dated 01/18/12, the LA Medicaid Online RA has been changed to include the National Drug Code (NDC) when it is submitted on a claim from the provider. This information will appear immediately below the procedure description on the affected RA claim line. This change does NOT affect the online RAs for pharmacy providers submitting drug claims through POS. The positioning of the NDC data for these RAs/claims will remain the same. This change also does NOT affect NDC data returned through the 835 electronic remittance advice. The return of the NDC data for 835s will remain the same.