PHARMACY PROVIDERS, PLEASE
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
Should you have any questions
regarding any of the following messages, please contact Molina Medicaid
Solutions at (800) 473-2783 or (225) 924-5040.
For information regarding the medication policy and/or criteria associated with this denial, providers
may access the Louisiana Medicaid Preferred Drug List (PDL) / Non-Preferred Drug List at
Attention Louisiana Medicaid Providers:
Effective September 15, 2019, Fee-for-Service (FFS) Medicaid Pharmacy Program will reimburse enrolled pharmacies for influenza vaccines and the
administration of the vaccines by a pharmacist per program policy. If FFS Medicaid pharmacy program is billed for a recipient 18 years old or younger,
only the administration fee will be reimbursed since the influenza vaccine is available through Louisiana Vaccines for Children (VFC) program.
For more information, please refer to http://www.lamedicaid.com/provweb1/Pharmacy/Influenza.htm.