RA Messages for
November 6, 2012
PROVIDERS, PLEASE NOTE!!!
If you are unsure
about the coverage of a drug product, please contact the PBM help desk
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.
Effective immediately, Louisiana Medicaid will reimburse
for Brand Name drugs at a Brand reimbursement when the Brand drug is on the PDL
and the generic drug requires PA. To be reimbursed at a Brand, enter a value of
�9,� which is Substitution Allowed by Prescriber but Plan Requests Brand; in the
NCPDP field #408-D8. When �9� is entered in NCPDP field #408-D8, it will not be
necessary for �Brand Medically Necessary� to be handwritten on the prescription
by the prescriber. Please call the Pharmacy POS Helpdesk at 1-800-648-0790 for
ATTENTION PHARMACISTS AND PRESCRIBING PROVIDERS
Louisiana Medicaid has updated RXPA forms. These forms are used when requesting Prior Authorization (PA) for drugs not on the Preferred Drug List (PDL) and forms used for reconsideration of a PA. These updated forms can be found at http://www.lamedicaid.com/provweb1/Pharmacy/rxpa/rxpaindex.htm. Please call the Pharmacy POS Helpdesk at 1-800-648-0790 for questions.