Pharmacy Readiness Survey
The Health & Recovery Services Administration
(HRSA) continues Application of July 1, 2008, Preferred Drug
List Until October 20, 2008. The
Washington State Healthcare Authority Prescription Drug Program
has announced changes to the Washington State Preferred Drug
List (PDL) to be implemented on October 1, 2008. HRSA will not implement these changes to the Washington PDL on
October 1, 2008. Scheduled implementation of the October
Washington PDL will continue for both UMP and L & I. See Memo 08-61 for
additional details.
On July 1, Medicaid clients were able to access a new stop-smoking benefit that includes counseling and prescription drugs. See Memo 08-22 titled "Prescription Drug Program: Expanded Smoking Cessation Program and Changes to the Washington PDL and List of Limitations on Certain Drugs".
>Enroll in the Pharmacy Policy Listserv to receive policy updates and other important information for Medicaid enrolled pharmacies!
Tamper-resistant prescription pads became a requirement for Medicaid prescriptions April 1, 2008. Effective October 1, 2008 prescription pads must contain all three tamper resistant features.
Click here for a list of tamper-resistant prescription pad suppliers.
More information is listed on the federal Medicaid Website.Vivitrol IM. DSHS will pay for six monthly injections of Vivitrol IM for Medicaid clients who are alcohol dependent; who meet the clinical criteria and who are enrolled in a DASA chemical dependence treatment program. DSHS will only pay for Vivitrol IM distributed directly to prescribers through Specialty Pharmacies (not retail pharmacies). Those Specialty Pharmacies handling Vivitrol IM are Caremark, Coram, Pharmacare, and Curascript.
| Caremark: | 1-800-237-2767 | |
| Coram: | 1-877-426-7267 | |
| Pharmacare: | 1-888-645-9303 | |
| Curascript: | 1-888-773-7376 |
Clarification on Healthy Options Managed Care Clients that self refer, using override 2:
Clients enrolled in a HRSA managed care plan may receive services under separate contracts from the following three entities:
- Community Mental Health Centers
- Family Planning Agencies
- Health Departments
Second Opinion Network Provider. Word format & PDF format. Additional ADHD information. Word format.
Note: If you participate in a phone consult with the second opinion network provider, you may be reimbursed for this service by billing with procedure code 99441.
For Fair Hearings information, please refer to the Office of Administrative Hearings website.
Transportation: Clients that need help to pay for gas to drive to a scheduled visit to one of HRSAs designated second-opinion physicians can contact their local Transportation Broker for a gas/fuel voucher. Transportation Broker staff will ask some routine screening questions when taking the request. Clients will be asked for proof of vehicle insurance, current vehicle registration, and a copy of a current drivers license.
To find a local Transportation Broker, click on http://fortress.wa.gov/dshs/maa/Transportation/Phone.htm
HRSA for Medicare Part D co-payments. A numbered memo for pharmacists is available for billing purposes. See Memo 06-07. An update was distributed on February 23, 2006. Memo 08-09 includes a change to the co-pay amount that affects dates of service on or after 01/01/08.
Save time and cut your administrative burden by endorsing the state's preferred drug list (PDL). If you are an Endorsing Practitioner and wish to prescribe a non-preferred drug from one of the PDL classes, you simply indicate "dispense as written" on the prescription and the pharmacist will fill the non-preferred drugs as written without questions. To find out more and register, go to www.rx.wa.gov
Reports
For comments or questions regarding the HRSA Pharmacy programs, e-mail
contact us.
