Pharmacy Updates Archives

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2010

• Prior Authorization Tier Changes (Dec. 22, 2010)
• OHCA Pharmacy Help Desk Holiday Hours (Nov. 23, 2010)
• NCPDP Response Code Clarification & Prior Authorization Update (Oct. 19, 2010)
• Flu Vaccine Coverage & Hydrocodone Prescription Limit (Aug. 25, 2010)
• Low Doses of Crestor and Lipitor to Require Prior Authorization (Aug. 5, 2010)
• Smoking Cessation coverage and Prior Authorization & Pharmacy Co-Payment changes (Jul. 29, 2010)
• Change SoonerCare members' co-pay amounts for prescription drugs (Jul. 19, 2010)
• Prior Authorization now required Ilaris, Requip XL and Lovaza (Jul. 9, 2010)
• Changes to Antihistamine Coverage, Request for Reconsideration of Reimbursement Rates & Pharmacy Lock-in Program (Apr. 28, 2010)
• Ophthalmic Anti-Infective Step Therapy (Apr. 7, 2010)
• Pharmacy Changes for Co-Pay, Dispensing Fee, Anxiolytic Benzodiazepines PA  & Injectables & Emergency supply Authorizations (Mar. 25, 2010)
• Atypical Antipsychotics Step Therapy (Mar. 18, 2010)
• Hydrocodone Prescription Limit, Ribavirin Solution, Zipsor & Cambia & Prior Authorization Tips (Mar. 12, 2010)
• Pediculicide Step Therapy & Antiemetic Prior Authorization (Jan. 20, 2010)
• Statin Step Therapy (Jan. 12, 2010)
• Prescription Limit Change (Jan. 06, 2010)
• Otic Antibiotic Step Therapy (Jan. 05, 2010)

2009

• Fibromyalgia Antimigraine Step Therapy (Dec. 29, 2009)
• Step Therapy Changes (Dec. 21, 2009)
• Plavix Effient PA Holiday Hours (Nov. 25, 2009)
• Diabetic Supplies (Nov. 13, 2009)
• Emergency Compounding of an Oral Suspension from Tamiflu 75mg Capsules (Oct. 7, 2009)
• Hydrocodone/APAP Quantity Limits & Pharmacy Prior Authorization Tips (Sept. 18, 2009)
• Advair & Symbicort Prior Authorization, Approval Criteria & Pharmacy Help Desk Holiday Hours (Sept. 3, 2009)
• Osteoporosis Medications Step Therapy & Criteria for Moving to Higher Tiers (Aug. 6, 2009)
• Lamisil Granules Prior Authorization, Independence Day Holiday Hours & OHCA Web Alerts Service Available (Jun. 24, 2009)
• Soon to be Sooners Coverage Correction, Prior Authorization Update & Diabetes Mdications  (Jun. 12, 2009)
• Some Drugs Available without Prior Authorization for soon to be Sooners Members (Jun. 5, 2009)
• Bladder Control Medications & Smoking Cessation Coverage (May 28, 1009)
• Correction Regarding Glycolax, Miralax Not Coverage (May 27, 2009)
• Pharmacy Help Desk Holiday Hours, Glycolax, Miralax Not Covered & OHCA Launches e-Prescribing (May 22,2009)
• Anxiolytic Prior Authorization & Anti-Insomnia Step Therapy  (May 7, 2009)
• Third Party Liability & Default and OTC Prescriber IDs (May 1, 2009)
• Narcotic Analgesic Step Therapy (Apr. 21, 2009)
• Pharmacies May be Contacted, Prescriber NPI & Name must match & SoonerCare Secure Site Requires MS 6 or 7 (Apr. 15, 2009)
• Stimulant / ADHD Prior Authorization & Tier requirements (Apr. 6, 2009)
• Pediculicides, Anti-Ulcer Medications & Topical Antibiotics Step Therapy (Mar. 27, 2009)
• Antidepressant Prior Authorization (Mar. 6, 2009)
• ESA Prior Authorization (Feb. 27, 2009)
• Oral Antihistamines Prior Authorization & Nasal Allergy Prior Authorization (Feb. 13, 2009)
• Fax Numbers for Prior Authorization Request & How it works: Pharmacy Prior Authorization (Jan. 16, 2009)
• Prior Authorization Tier changes, Corrections & Antidepressants PA Criteria (Jan. 14, 2009)
• Prior Authorization Tier changes & Antidepressant Prior Authorization (Jan. 7, 2009)

2008

• Singulair Prior Authorization & HFA Rescue Inhalers Step Therapy (Dec. 30, 2008)
• Drug Quantity Limits & Pharmacy Help Desk Holiday Hours (Nov. 25, 2008)
• Pharmacy Claims Processing Issues, PA Notification Letters, Tamper Resistant Prescription Requirements & Online SoonerCare Formulary Information (Nov. 21, 2008)
• Tamper Resistant Prescription Requirements (Sep. 23, 2008)
• Narcotic Analgesics Prior Authorization & Default Prescriber ID and OTC Prescriber ID (Aug. 15, 2008)
• Prior Authorization update on Ovide and Ocular Allergy (Aug. 4, 2008)
• Prior Authorization Changes, Some Narcotic Analgesics to Require PA or Step Therapy (Jul. 16,2008)
• Prescribers Now Receiving Pharmacy PA Responses, Pharmacy PA Requests Do Not Require Cover Sheet; Fax Numbers have Not Changed & Beware Similar PA Forms (May 6, 2008)
• OHCA Pharmacy Phone & Fax Numbers have not Changed, Clarification of Tamper Resistant Prescription Pad Requirement for Schedule II Drugs and Clarification of "Dear Provider" Letter dated May 12, 2008 (May 21, 2008)
• Pharmacy Claims to Begin Processing with NPI 5/22/2008, Check Your Mail & Default/OTC Prescriber ID Changes (May 16, 2008)
• OTC Pediculicides Now Covered & Prescription-Only Pediculicides will require Prior Authorization (Apr. 21, 2008)
• Nasal Allergy Medications Prior Authorization & Ophthalmic Anti-Infective/Steroid Combinations (Apr. 14, 2008)
• Prior Authorization Fax Numbers, Request Reconsideration of SMAC & New Soon-To-Be-Sooners (Apr. 7, 2008)
• Prior Authorization Update, Topical Antifungal Step Therapy, Soma & Quantity Limits (Mar. 27, 2008) Tamper Resistant Requirements (Mar. 18, 2008)
• OTC Pediculicides Now Covered, Dates to Remember & Revised Federal Upper Limit Pricing Delayed (Feb. 29, 2008)
• Substitution & Documentation Requirements, Lidoderm Prior Authorization (Feb. 8, 2008)
• Children's OTC Analgesic & Decongestant Medications & Prior Authorization Changes (Jan. 18, 2008)
• Hydrocodone Duplication (Jan. 04, 2008)

2007

• Lidoderm Prior Authorization & Hydrocodone (Nov. 30, 2007)
• Children's Cough & Cold Coverage & Prior Authorization Changes (Oct. 31, 2007)
• Prior Authorization Changes & Narcotics Quantity Limits (Oct. 15, 2007)
• Tamper Resistant Prescription Pads Requirement Delayed & Narcotics Quantity Limits (Sept. 30, 2007)
• SoonerCare Pharmacy Update (Sept. 2007)
• Synagis Updates (Sept. 24, 2007)
• Tamper Resistant Prescription Requirements Update, DME Accreditation (Sept. 19, 2007)
• Provider NPI Data Available Soon, SoonerCare Pharmacy Teleconference (Aug. 28, 2007)
• Tamper-Resistant Prescription Pads & SoonerCare Pharmacy Teleconference (Aug. 20, 2007)
• New Prior Authorization requirements for Amrix, Fexmid & Tekturna, NPI Reminder, Lock-in-program & Teleconferencing Update (Jul. 30, 2007)
• System updates, Pharamcy Teleconference Survey (Jul. 13, 2007)
• Effective Immediately Ocular Allergy & Insomnia products now require Prior Authorization (Jun. 29, 2007)
• New Prior Authorization requirements for Flector, Qualaquin, Vyvanse & NPI Update (May. 16, 2007)
• Request for Reconsideration of a SMAC Price, Tier Changes & Rx for Oklahoma (Apr. 27, 2007)
• NPI Update (Apr. 13, 2007)
• New NPI information for Pharmacies (Mar. 23, 2007)
• Prilosec OTC Not covered, New (NPI) Claims submitting requirements, New Soonercare Pharmacy update Options (Feb. 27, 2007)
• New Pharmacy Claims process Effective 05/23/2007 National Provider Identifier (Feb. 22, 2007)
• New Prior Authorization requirements for Glumetza, Fortamet & Exubera (Feb. 01, 2007)
• New Tiering, Anti-Ulcer & Fibric Acid Derivatives (Jan. 01, 2007)

2006

• Cough & Cold (Dec. 13, 2006)
• Synagis Tips & Reminders (Nov. 22, 2006)
• Plan B, Outage (Nov. 22, 2006)
• Scheduled System Outage (Nov. 16, 2006)
• National Provider Identifier (NPI) (Nov. 10, 2006)
• Effective 10/23/2006 Tier Changes (Oct. 13, 2006)
• New Prior Authorization requirements for Xopenex & Xopenex HFA, Reminder Prescription Fill Process (Sept. 22, 2006)
• Valid Date of Birth & National Provider Identifier (July 26, 2006)
• Bladder Control Drugs (July 15, 2006)
• Oklahoma Medicaid Drug List name change & Carisoprodol PA requirements (May 26, 2006)
• New Prior Authorization requirements for Darvocet A500, Balacet 325, Xopenex HFA, Ultram ER/ODT & Carisoprodol (May 12, 2006)
• OHCA Compounding Policy (Apr. 25, 2006)
• Pharmacy Lock-In Referral Form (Apr. 19, 2006)
• Diabetic Supplies, Drug Pricing, Prescriber Number & Physician's Assistant Prescriber Number (Apr. 04, 2006)
• New ID Card (Mar. 22, 2006)
• Prescriber ID Number/Name Match Schedule (Feb. 13, 2006)
• Billing Tips For Members With both Medicare & Medicaid (Feb. 3, 2006)
• Sidekicks, Zelnorm, Boniva, Elidel, Protopic & ePocrates (Jan. 26, 2006)
• New Pharmacy Help Desk Phone Numbers (Jan. 13, 2006)
• Medicaid and Medicare Billing Tips (Jan. 03, 2006)

2005

• Ambien CR, Antiulcer, Fenofibrates (Dec. 14, 2005)
• Medicaid PDPs (Dec. 12, 2005)
• Medicare Part D. Prescription Drug Benefit (Nov. 30, 2005)
• Byetta, Niravam, Revatio & Symlin (Nov. 21, 2005)
• Plavix (Nov. 3, 2005)
• Bladder Control (Sep. 26, 2005)
• Step Therapy Changes (Sep. 23, 2005)
• Hurricane Katrina Information (Sep. 2, 2005)
• ProDUR Alert, Accurate Prescriber ID, Medicare Part D (July 29, 2005)
• ProDUR Alert, Medicare Part D, Useful Pharmacy Info (July 22, 2005)
• Quantity Limits (June 27, 2005)
• Quantity Limits (June 9, 2005)
• Quantity Limits (May 27, 2005)
• Cost Avoidance, Prescriber ID# Name, State Default (May 25, 2005)
• Medicare Part D Prescription Drug Benefit (May 20, 2005)
• Error Codes, Early Refill, Compounds, Signature Log (May 13, 2005)
• Smoking Cessation, Medicare Crossover Claims (Apr. 25, 2005)
• Family Planning Program (Mar. 25, 2005)
• ProDUR High Dose, New Qty. Limits (Mar. 18, 2005)
• SSRI Category Changes (Jan. 31, 2005)

2004

• PA Changes, Billing Units Guidelines, SSRIs (Oct. 8, 2004)
• Supplemental Rebate (Sep. 28, 2004)
• PA for Synagis, Updated Prescriber File, Pharmacy Forms (Sep. 17, 2004)
• More Quantity Limits Phased In, TPL, DOB Edit (Jul. 22, 2004)
• PA and Step Therapy Changes, Prescriber File (Jun. 25, 2004)
• New PAs, Anti-Ulcer Category and Claritin NDC Changes (May. 14, 2004)
• DME Provider List, Quantity Limits, Changes in Step Therapy Tiers (Apr. 16, 2004)
• Prilosec OTC Covered Without Prior Authorization (Mar. 17, 2004)
• Reminder of Important Dates (Jan. 30, 2004)
• Medicare Portion of the Third Party Liability (Jan. 23, 2004)

2003

• SoonerCare Plus Pharmacy Transition (Dec. 22, 2003)
• OHCA Anticipates Approval of Increase in Prescription Limit (Nov. 25, 2003)
• Oklahoma Medicaid Billing Procedure for Cost Avoidance (Oct. 22, 2003)
• Pharmacy Help Desk Telephone Menu Changed (Oct. 6, 2003)
• Requirement of Cost Avoidance Suspended (Sep. 25, 2003)
• Billing Procedure for Third Party Liability (Sep. 8, 2003)
• OHCA to Cost Avoid Claims for Clients with Third Party Coverage (Aug. 15, 2003)
• Strattera (Atomoxetine) to Require Prior Authorization (Jul. 18, 2003)
• The new Recipient Identification (RID) Number (May 30, 2003)
• Screening Point-of-Sale Claims through a ProDUR Process (Apr. 11, 2003)
• NCPDP Rejection Codes (Feb. 28, 2003)
• Deadline for Filing in NCPDP Version 5.1 Extended (Feb.14, 2003)
• Prior Authorization of Non-sedating Antihistamines (Feb 7, 2003)
• A Few Issues Related to the EDS System and the Pharmacy Program (Jan. 10, 2003)
• Changed Criteria for Approval of Prior ARs for Non-Sedating Antihistamines (Jan. 3, 2003 )

2002

• Oklahoma Medicaid Claims Processing Changes (Nov. 27, 2002)