August 1, 2009

Effective July 20th, additional drug classes will be included in the North Carolina Division of Medical Assistance's prior authorization program.  Brand name Muscle Relaxants and Nasal Corticosteroids will require prior authorization.  A quantity limit prior authorization will be placed on the Serotinin 5-HT 1 Recptor Agonists (Triptans).

To assist providers and practices with the expansion of the prior authorization program, 4C can provide the following:

• Criteria for each of the accepted policy changes    (Muscle Relaxants, Nasal Steroids, and Triptans).
• A list of patients who may be affected by policy changes.
• MD Easy Forms to facilitate your practice in providing prescriptions.

August 20, 2009

The Stroke/Hypertention Project plans to celebrate the accomplishment of the participants with an Hypertention Forum. For more information click the link below.

 

 

 

 

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PAL/PHARMACY

Help the NC Medicaid prescription benefits work better for everyone.

If 50% of the prescriptions written for non-sedating antihistamines and proton pump inhibitors were prescribed as over the counter medications (OTC), NC Medicaid could save $50 million annually and maintain a strong prescription benefit program for enrollees.

 

The Prescription Advantage List (PAL) is a voluntary prescription list developed by the Community Care of NC (CCNC) Medical Directors.  The PAL ranks drugs within ten therapeutic categories according to cost (tier).

 

Tier 1 is the least expensive

 

Tier 3 is the most expensive

 

PAL pocket guides and office charts are provided to practices by 4C and the assigned case manager. 

 

View latest Prescription Advantage List