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Current and recent information for pharmacists about the MassHealth Pharmacy Program.
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In this issue: Changes to MassHealth Coverage of Weight Loss Drugs
In this issue: Changes to MassHealth Coverage of Weight Loss Drugs
In this issue: Third Party Liability Billing and Use of Other Coverage Codes Reminder; MassHealth Drug List Updates
In this issue: Third Party Liability Billing and Use of Other Coverage Codes Reminder; MassHealth Drug List Updates
In this issue: COVID-19 Vaccination Reimbursement Update; COVID-19 Vaccination and Treatment for MassHealth Limited Members or Health Safety Net Patients; Updated MassHealth COVID-19 OTC Antigen Test Kit Policy for Coverage; Additional MassHealth COVID-19 OTC Antigen Test Kit Guidance
In this issue: COVID-19 Vaccination Reimbursement Update; COVID-19 Vaccination and Treatment for MassHealth Limited Members or Health Safety Net Patients; Updated MassHealth COVID-19 OTC Antigen Test Kit Policy for Coverage; Additional MassHealth COVID-19 OTC Antigen Test Kit Guidance
In this issue: Independent Pharmacy and Entity-Owned Community Health Center Pharmacy Attestation and Enhanced-Services Pharmacy Attestation
In this issue: Independent Pharmacy and Entity-Owned Community Health Center Pharmacy Attestation and Enhanced-Services Pharmacy Attestation
In this issue: Close-Out Meeting for Cost-of-Dispensing Survey; MassHealth Drug List Update
In this issue: Close-Out Meeting for Cost-of-Dispensing Survey; MassHealth Drug List Update
In this issue: Updates to MassHealth Drug List
In this issue: Updates to MassHealth Drug List
In this issue: MassHealth Drug List Update
In this issue: MassHealth Drug List Update
In this issue: Naloxone Days’ Supply Guidance
In this issue: Naloxone Days’ Supply Guidance
In this issue: Updates to the MassHealth Drug List (MHDL)
In this issue: Updates to the MassHealth Drug List (MHDL)
In this issue: Updates to the Implementation of Prescriber Requirements for Pharmacies
In this issue: Updates to the Implementation of Prescriber Requirements for Pharmacies
In this issue: Updates related to Fluticasone HFA, Asmanex HFA, and inhaled corticosteroid coverage
In this issue: Updates related to Fluticasone HFA, Asmanex HFA, and inhaled corticosteroid coverage
In this issue: Pharmacy copay changes effective April 1, 2024
In this issue: Pharmacy copay changes effective April 1, 2024
In this issue: MHDL updates and change in effective date for managed care update to GLP-1 Agonist drugs purchased through the 340B drug pricing program
In this issue: MHDL updates and change in effective date for managed care update to GLP-1 Agonist drugs purchased through the 340B drug pricing program
In this issue: MHDL updates and managed care update to GLP-1 Agonist drugs purchased through the 340B drug pricing program
In this issue: MHDL updates and managed care update to GLP-1 Agonist drugs purchased through the 340B drug pricing program
In this issue: Updates related to brand Flovent and generic fluticasone propionate inhalation products
In this issue: Updates related to brand Flovent and generic fluticasone propionate inhalation products
In this issue: Updated Nonbilling Provider Enrollment Application
In this issue: Updated Nonbilling Provider Enrollment Application
In this issue: MassHealth Pharmacy Regulation Changes
In this issue: MassHealth Pharmacy Regulation Changes
In this issue: MassHealth Drug List Update; Additions; Changes in Prior-Authorization Status; Change in Coverage Status; Updated MassHealth Brand Name Preferred Over Generic Drug List; Updated MassHealth Non-Drug Product List
In this issue: MassHealth Drug List Update; Additions; Changes in Prior-Authorization Status; Change in Coverage Status; Updated MassHealth Brand Name Preferred Over Generic Drug List; Updated MassHealth Non-Drug Product List
In this issue: Updates on Payment Care and Delivery Innovations (PCDI)
In this issue: Updates on Payment Care and Delivery Innovations (PCDI)
In this issue: Upcoming Drug Discontinuations; MassHealth Drug List (MHDL) Update
In this issue: Upcoming Drug Discontinuations; MassHealth Drug List (MHDL) Update
In this issue: Pharmacist Prescribing and Dispensing of Hormonal Contraceptive Patches and Self-Administered Oral Hormonal Contraceptives; Pharmacists Prescribing for MassHealth Members
In this issue: Pharmacist Prescribing and Dispensing of Hormonal Contraceptive Patches and Self-Administered Oral Hormonal Contraceptives; Pharmacists Prescribing for MassHealth Members
In this issue: Summary of MassHealth All Provider Bulletin 380 - Updates to the Implementation of Prescriber Requirements for Pharmacies.
In this issue: Summary of MassHealth All Provider Bulletin 380 - Updates to the Implementation of Prescriber Requirements for Pharmacies.
In this issue: Cost-of-Dispensing and Average Acquisition Cost (AAC) Surveys; Off-Cycle Change in Prior Authorization (PA) Status.
In this issue: Cost-of-Dispensing and Average Acquisition Cost (AAC) Surveys; Off-Cycle Change in Prior Authorization (PA) Status.
In this issue: Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2; Coverage for Medically Necessary Enteral Nutrition Liquid Products through Pharmacy Providers; Payment for Enteral Nutrition Liquid Products Dispensed by Pharmacy Providers.
In this issue: Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2; Coverage for Medically Necessary Enteral Nutrition Liquid Products through Pharmacy Providers; Payment for Enteral Nutrition Liquid Products Dispensed by Pharmacy Providers.
In this issue: Discontinuation of Brand Flovent® Products.
In this issue: Discontinuation of Brand Flovent® Products.
In this issue: New 2023–2024 mRNA COVID Vaccines; MassHealth Drug List Update.
In this issue: New 2023–2024 mRNA COVID Vaccines; MassHealth Drug List Update.
In this issue: Update to Pharmaceutical Compounding Requirements.
In this issue: Update to Pharmaceutical Compounding Requirements.
In this issue: MassHealth Naloxone Availability and Coverage.
In this issue: MassHealth Naloxone Availability and Coverage.
In this issue: MassHealth Drug List Update.
In this issue: MassHealth Drug List Update.
In this issue: End of the 90-day Continuity-of-Care Period.
In this issue: End of the 90-day Continuity-of-Care Period.
In this issue: Continuity of Care, Including after Closure of Medical Practice.
In this issue: Continuity of Care, Including after Closure of Medical Practice.
In this issue: Opioid First-Fill Seven-Day Supply Restriction
In this issue: Opioid First-Fill Seven-Day Supply Restriction
In this issue: Updates to the MassHealth Drug List.
In this issue: Updates to the MassHealth Drug List.
In this issue: End of the Public Health Emergency
In this issue: End of the Public Health Emergency
In this issue: Restatement of pharmacy copay changes effective May 1, 2023; changes to pharmacy copay poster.
In this issue: Restatement of pharmacy copay changes effective May 1, 2023; changes to pharmacy copay poster.
In this issue: Pharmacy copay changes effective May 1, 2023.
In this issue: Pharmacy copay changes effective May 1, 2023.
In this issue: Pharmacy Claims Processing Updates—New Submission Clarification Code
In this issue: Pharmacy Claims Processing Updates—New Submission Clarification Code
In this issue: MassHealth Drug List Updates
In this issue: MassHealth Drug List Updates
In this issue: important information from MassHealth for all providers about continuity of care during the MassHealth transition to new managed care arrangements.
In this issue: important information from MassHealth for all providers about continuity of care during the MassHealth transition to new managed care arrangements.
In this issue: COVID-19 Vaccines
In this issue: COVID-19 Vaccines
In this issue: MassHealth Eligibility Redetermination
In this issue: MassHealth Eligibility Redetermination
In this issue: MassHealth Drug List and Medical Billing
In this issue: MassHealth Drug List and Medical Billing
In this issue: MHDL Updates
In this issue: MHDL Updates
In this issue: Pharmacy Claims Processing Updates, including 12-month Postpartum Coverage for MassHealth Members
In this issue: Pharmacy Claims Processing Updates, including 12-month Postpartum Coverage for MassHealth Members
In this issue: Overview of BIN/PCN/Group Numbers for MasshHealth plans, effective for calendar year 2023
In this issue: Overview of BIN/PCN/Group Numbers for MasshHealth plans, effective for calendar year 2023
In this issue: Reminder about Changes to Prescription Drug Days’ Supply Limitations, Effective December 19, 2022; and MassHealth Drug List Update
In this issue: Reminder about Changes to Prescription Drug Days’ Supply Limitations, Effective December 19, 2022; and MassHealth Drug List Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Overview of Implementation of Adult Prescription Stimulant Restrictions and Description of Restrictions for Adult Use of Prescription Stimulants.
In this issue: Overview of Implementation of Adult Prescription Stimulant Restrictions and Description of Restrictions for Adult Use of Prescription Stimulants.
In this issue: Changes to Prescription Drug Days’ Supply Limitations, Effective December 19, 2022
In this issue: Changes to Prescription Drug Days’ Supply Limitations, Effective December 19, 2022
In this issue: Off-Cycle MHDL Update
In this issue: Off-Cycle MHDL Update
In this issue: MHDL Updates; Change in Prior-Authorization Status; and Updated MassHealth Brand Name Preferred Over Generic Drug List
In this issue: MHDL Updates; Change in Prior-Authorization Status; and Updated MassHealth Brand Name Preferred Over Generic Drug List
In this issue: Changes to Prescription Drug Days’ Supply Limitations, Effective September 19, 2022
In this issue: Changes to Prescription Drug Days’ Supply Limitations, Effective September 19, 2022
In this issue: MHDL Update; Change in Prior-Authorization Status; Updated MassHealth Brand Name Preferred Over Generic Drug List; and Updated MassHealth Non-Drug Product List
In this issue: MHDL Update; Change in Prior-Authorization Status; Updated MassHealth Brand Name Preferred Over Generic Drug List; and Updated MassHealth Non-Drug Product List
In this issue: Upcoming Changes to 340B Pharmacy Claims Adjudication and MHDL Update
In this issue: Upcoming Changes to 340B Pharmacy Claims Adjudication and MHDL Update
In this issue: MHDL Update; Updated MassHealth Brand Name Preferred Over Generic Drug List; Updated MassHealth Non-Drug Product List; and MassHealth Pharmacy Coverage of Pediatric Enteral Special Formula and Thickening Agents – Health Safety Net Coverage (HSN)
In this issue: MHDL Update; Updated MassHealth Brand Name Preferred Over Generic Drug List; Updated MassHealth Non-Drug Product List; and MassHealth Pharmacy Coverage of Pediatric Enteral Special Formula and Thickening Agents – Health Safety Net Coverage (HSN)
In this issue: MHDL Update; Updated MassHealth Brand Name Preferred Over Generic Drug List; and Updated MassHealth Non-Drug Product List
In this issue: MHDL Update; Updated MassHealth Brand Name Preferred Over Generic Drug List; and Updated MassHealth Non-Drug Product List
In this issue: MassHealth Pharmacy Regulation Changes
In this issue: MassHealth Pharmacy Regulation Changes
In this issue: MassHealth Pharmacy Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2
In this issue: MassHealth Pharmacy Coverage of Over-the-Counter Diagnostic Antigen Tests for SARS-CoV-2
In this issue: MassHealth pharmacy coverage and billing information for COVID-19 oral antivirals.
In this issue: MassHealth pharmacy coverage and billing information for COVID-19 oral antivirals.
In this issue: MassHealth pharmacy coverage of pediatric enteral special formula and thickening agents; updated MassHealth Brand Name Preferred Over Generic Drug List; BIN/PCN/group numbers for ACOs, MCOs and PCC Plan; and BIN/PCN/group numbers for ACOs, MCOs, PCC Plan, and SCO MassHealth-only.
In this issue: MassHealth pharmacy coverage of pediatric enteral special formula and thickening agents; updated MassHealth Brand Name Preferred Over Generic Drug List; BIN/PCN/group numbers for ACOs, MCOs and PCC Plan; and BIN/PCN/group numbers for ACOs, MCOs, PCC Plan, and SCO MassHealth-only.
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Coronavirus Disease 2019 (COVID-19) and New Quantity Limits for Ivermectin—Effective Immediately; and MHDL Update.
In this issue: Coronavirus Disease 2019 (COVID-19) and New Quantity Limits for Ivermectin—Effective Immediately; and MHDL Update.
In this issue: Reminders for Pharmacy providers about Albuterol Inhalers and updates regarding MassHealth Durable Medical Equipment (DME) Regulation and Deferred Compliance.
In this issue: Reminders for Pharmacy providers about Albuterol Inhalers and updates regarding MassHealth Durable Medical Equipment (DME) Regulation and Deferred Compliance.
In this issue: Pfizer-BioNTech and Moderna Third Dose Coronavirus Disease 2019 (COVID-19) Vaccine Billing Information, Apo-Varenicline Coverage, and Guidance for DME/OXY Providers.
In this issue: Pfizer-BioNTech and Moderna Third Dose Coronavirus Disease 2019 (COVID-19) Vaccine Billing Information, Apo-Varenicline Coverage, and Guidance for DME/OXY Providers.
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Updates Related to Coronavirus Disease 2019 (COVID-19) Effective June 15, 2021
In this issue: Updates Related to Coronavirus Disease 2019 (COVID-19) Effective June 15, 2021
In this issue: Changes to pharmacy copay caps for members, POPS claim response, EVS updates, and an updated pharmacy copay poster
In this issue: Changes to pharmacy copay caps for members, POPS claim response, EVS updates, and an updated pharmacy copay poster
In this issue: Coronavirus Disease 2019 (COVID-19) Vaccine Billing Information, Including Vaccine Coverage Policy for MassHealth Limited Members
In this issue: Coronavirus Disease 2019 (COVID-19) Vaccine Billing Information, Including Vaccine Coverage Policy for MassHealth Limited Members
In this issue: Days’ Supply Limitations for Drugs Used for Family Planning
In this issue: Days’ Supply Limitations for Drugs Used for Family Planning
In this issue: Removal of Prior Authorization (PA) Requirements for Chloroquine and Hydroxychloroquine, Effective May 10, 2021; Vaccine Administration Rates; MHDL Update
In this issue: Removal of Prior Authorization (PA) Requirements for Chloroquine and Hydroxychloroquine, Effective May 10, 2021; Vaccine Administration Rates; MHDL Update
In this issue: COVID Vaccine Billing Information; MHDL Update
In this issue: COVID Vaccine Billing Information; MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: COVID Vaccine Billing Information; Use of Submission Clarification Codes (420-DK); Continuous Glucose Monitoring Products
In this issue: COVID Vaccine Billing Information; Use of Submission Clarification Codes (420-DK); Continuous Glucose Monitoring Products
In this issue: Unified Pharmacy Product List Overview
In this issue: Unified Pharmacy Product List Overview
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Additional Updates Related to Coronavirus Disease 2019 (COVID19) – Effective Immediately
In this issue: Additional Updates Related to Coronavirus Disease 2019 (COVID19) – Effective Immediately
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Of special interest to pharmacies submitting claims for Health Safety Net (HSN) patients
In this issue: Of special interest to pharmacies submitting claims for Health Safety Net (HSN) patients
In this issue: Additional Update Related to Coronavirus Disease 2019 (COVID19)
In this issue: Additional Update Related to Coronavirus Disease 2019 (COVID19)
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Off-Cycle Update to MassHealth Brand Name Over Generic Drug List; Notice of Eli Lilly’s Limited Distribution to 340B Covered Entities and their Contract Pharmacies
In this issue: Off-Cycle Update to MassHealth Brand Name Over Generic Drug List; Notice of Eli Lilly’s Limited Distribution to 340B Covered Entities and their Contract Pharmacies
In this issue: MHDL Update; Thank You to MassHealth Providers
In this issue: MHDL Update; Thank You to MassHealth Providers
In this issue: Additional Updates Related to Coronavirus Disease 2019 (COVID-19)
In this issue: Additional Updates Related to Coronavirus Disease 2019 (COVID-19)
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Pharmacy Copay Changes
In this issue: Pharmacy Copay Changes
In this issue: Additional Updates Related to Coronavirus Disease 2019 (COVID-19) for Pharmacies Serving Health Safety Net Patients – Effective Immediately
In this issue: Additional Updates Related to Coronavirus Disease 2019 (COVID-19) for Pharmacies Serving Health Safety Net Patients – Effective Immediately
In this issue: Claims for Additional Non-Drug Items Payable through POPS; MHDL Update
In this issue: Claims for Additional Non-Drug Items Payable through POPS; MHDL Update
In this issue: Additional Updates Related to Coronavirus Disease 2019 (COVID19)—Effective Immediately
In this issue: Additional Updates Related to Coronavirus Disease 2019 (COVID19)—Effective Immediately
In this issue: MHDL Update
In this issue: MHDL Update
Coronavirus Disease 2019 (COVID-19) and New Policies on Chloroquine and Hydroxychloroquine—Effective for Dates of Service on or after March 26, 2020
Coronavirus Disease 2019 (COVID-19) and New Policies on Chloroquine and Hydroxychloroquine—Effective for Dates of Service on or after March 26, 2020
In this issue: Additional Updates Related to Coronavirus Disease 2019 (COVID-19)—Effective Immediately
In this issue: Additional Updates Related to Coronavirus Disease 2019 (COVID-19)—Effective Immediately
In this issue: Updates Related to Coronavirus Disease 2019 (COVID-19) Effective March 14, 2020; Days’ Supply Limitations: Effective for Dates of Service beginning March 14, 2020; Early Refills
In this issue: Updates Related to Coronavirus Disease 2019 (COVID-19) Effective March 14, 2020; Days’ Supply Limitations: Effective for Dates of Service beginning March 14, 2020; Early Refills
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Updates on Payment and Care Delivery Innovation (PCDI); Changes Effective Jan. 1, 2020; Eligibility Verification and Billing Operations; Emergency Overrides; Current MassHealth 340B Policy and Plan Payments
In this issue: Updates on Payment and Care Delivery Innovation (PCDI); Changes Effective Jan. 1, 2020; Eligibility Verification and Billing Operations; Emergency Overrides; Current MassHealth 340B Policy and Plan Payments
In this issue: Update to Pharmacy Facts #136: Please Refer to This Updated Document (MassHealth Concomitant Opioid and Benzodiazepine Initiative)
In this issue: Update to Pharmacy Facts #136: Please Refer to This Updated Document (MassHealth Concomitant Opioid and Benzodiazepine Initiative)
In this issue: MHDL Update; MassHealth Concomitant Opioid and Benzodiazepine Initiative
In this issue: MHDL Update; MassHealth Concomitant Opioid and Benzodiazepine Initiative
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Copayments for Smoking Cessation Products
In this issue: Copayments for Smoking Cessation Products
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Vaccine Administration; Brand Name Preferred Over Generic; Tramadol Inclusion in Duplicate Opioid Policy; MHDL Update
In this issue: Vaccine Administration; Brand Name Preferred Over Generic; Tramadol Inclusion in Duplicate Opioid Policy; MHDL Update
In this issue: Buprenorphine Prescribing
In this issue: Buprenorphine Prescribing
In this issue: MHDL update
In this issue: MHDL update
In this issue: MHDL update
In this issue: MHDL update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Background; General Guidelines; Guidelines for Dual-Eligible Member; Recordkeeping Requirements; Repairs; MassHealth Website; Questions
In this issue: Background; General Guidelines; Guidelines for Dual-Eligible Member; Recordkeeping Requirements; Repairs; MassHealth Website; Questions
In this issue: Change in Process for DME PA Submissions; MassHealth LTSS Provider Portal Registration Information; Online Training Information
In this issue: Change in Process for DME PA Submissions; MassHealth LTSS Provider Portal Registration Information; Online Training Information
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Partial Fill of Schedule II Prescriptions; Copayments for Partial Fill of Schedule II Prescriptions
In this issue: Partial Fill of Schedule II Prescriptions; Copayments for Partial Fill of Schedule II Prescriptions
In this issue: Updates on Payment Care and Delivery Innovations (PCDI)
In this issue: Updates on Payment Care and Delivery Innovations (PCDI)
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Flu Vaccine Billing Reminder; Brand Name Preferred Over Generic Drug List; Pregnancy
In this issue: Flu Vaccine Billing Reminder; Brand Name Preferred Over Generic Drug List; Pregnancy
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Claims Processing Reminders
In this issue: Claims Processing Reminders
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL update
In this issue: MHDL update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this Issue: MHDL Update
In this issue: Cash Payments
In this issue: Frequently Asked Questions for ACO launch
In this issue: Frequently Asked Questions for ACO launch
In this issue: Important information from MassHealth for all providers regarding Continuity of Care through transition to new managed care arrangements.
In this issue: Important information from MassHealth for all providers regarding Continuity of Care through transition to new managed care arrangements.
In this issue: BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan.
In this issue: BIN/PCN/Group Numbers for ACOs, MCOs and PCC Plan
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Upcoming Regulation Changes – Prescribed Drugs Payment Methodology
In this issue: Upcoming Regulation Changes – Prescribed Drugs Payment Methodology
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Notice of Listening Session on Proposed Updates to Pharmacy Rates
In this issue: Notice of Listening Session on Proposed Updates to Pharmacy Rates
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: Cost-of-Dispensing Survey
In this issue: Cost-of-Dispensing Survey
In this issue: MHDL Update
In this issue: MHDL Update
Children's Medical Security Plan (CMSP) claims and MassHealth All Provider Bulletin 259
Children's Medical Security Plan (CMSP) claims and MassHealth All Provider Bulletin 259
In this issue: MHDL Update
In this issue: MHDL Update
In this issue: MHDL Update and Change in Prior Authorization Status
In this issue: MHDL Update and Change in Prior Authorization Status
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