09-01-08

Beginning October 15 , 2008, During the RSV season, prior approval will not be required for the five monthly doses of Synagis. The number of doses should be adjusted if an infant received the first dose prior to a hospital discharge. For the following four diagnoses (Chronic lung disease of prematurity, Hemodynamically significant congenital heart disease, Cystic fibrosis, and Severe congenital immunodeficiency) , the date of birth must be on or after October 15,2006.  Any claims before October 13,2008 and after March 31, 2009 will not be allowed.

 

 

 

 

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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