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mo healthnet medicaid formulary

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PDL Recomm 12.14.2017 – MO.gov

dss.mo.gov

Dec 14, 2017 opportunities for supplemental rebates should contact Magellan Medicaid.
Administration at (804) 548-0380. All clinical information for consideration should
be forwarded to Stephen Calloway (Stephen.Calloway@dss.mo.gov) or call. (573
) 751-6961. If a public presentation is desired contact MO HealthNet.

Preferred Drug List Announcement March-April 2018 – MO.gov

dss.mo.gov

MO HealthNet Division is continuing the state specific Preferred Drug List (PDL)
evaluation process. Drug/Drug classes for review for the upcoming quarter are
identified at each of the quarterly meeting of the Drug Prior Authorization
Committee and also posted on the Division's web page at …

Covered OTC Products List – MO.gov

dss.mo.gov

1% Lamisil AT. X. Acne Products. Analgesics. OTC COVERED PRODUCTS LIST.
*Preferred Drug List – Items listed as being a part of a Preferred Drug List Edit
may require prior authorization. Edit documents containing approval criteria can
be found at https://dss.mo.gov/mhd/cs/pharmacy/pages/clinedit.htm. Anti-
Diarrheals.

MO HealthNet Medicaid Pharmacy Report – Missouri Department of …

dss.mo.gov

Nov 16, 2009 Smart PA. ▫ Care Connections. ▫ Missouri Pharmacy PDL. ▫ Step Therapy for
three key conditions. ▫ Anemia, Hepatitis C, Multiple Sclerosis. ▫ Review of MO
HealthNet documents. ▫ Comparisons and benchmarking with other states
where data were available. ▫ Extensive pharmacy claims data analysis.

Preferred Drug List Criteria Proposal

dss.mo.gov

Preferred Drug List Criteria Proposal. Drug/Drug. Class: Hepatitis C (HCV)
Therapy. Date: November 1, 2017. Prepared for: Prepared by: MO HealthNet.
New Criteria. Revision of Existing Criteria. Executive Summary. Purpose: The MO
HealthNet Pharmacy Program will implement a state specific preferred drug list.
Why was …

13 CSR 70-20.300 – Missouri Secretary of State – MO.gov

www.sos.mo.gov

Jan 30, 2016 CODE OF STATE REGULATIONS. 3. JASON KANDER. (2/28/14). Secretary of
State. Chapter 20—Pharmacy Program. 13 CSR 70-20. Title 13—DEPARTMENT
OF. SOCIAL SERVICES. Division 70—MO HealthNet Division. Chapter 20—
Pharmacy Program. 13 CSR 70-20.010 Participating Drug. Vendors.

Synagis

dss.mo.gov

Preferred Drug List Criteria Proposal. 2009 ACS-Heritage Information Systems,
Inc. All Rights Reserved. Clinical Edit Criteria Proposal. Drug/Drug Class:
Synagis Clinical Edit. Date: September 17, 2009. Prepared for: MO HealthNet.
Prepared by: MO HealthNet. New Criteria. Revision of Existing Criteria. Executive
Summary.

MO HEALTHNET DIABETIC SUPPLIES MANAGEMENT Medicare …

dss.mo.gov

MO HEALTHNET DIABETIC SUPPLIES MANAGEMENT. ✓ Medicare/Medicaid
eligible patients will not be affected by this change, as Medicare reimburses their
diabetic supplies. ✓ Requests for products other than the referenced products will
be reviewed on an individual patient basis and evaluated for medical necessity.

Comparing Managed Care and Fee-For-Service – MO.gov

dss.mo.gov

Feb 1, 2017 MO HealthNet will continue to reimburse for all medications whose
manufacturers have entered into the federal rebate program (as required by law).
Agents … Single-Source Generic 17.1%. • MHD negotiates supplemental rebates
through a. Preferred Drug List. Rebates offset Medicaid costs to the Federal.