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.