Pharmacy

Notices

Date Title
09/26/2019Pharmacy Program Updates – September 2019
08/30/2019Pharmacy Program Changes and Updates - SUPPORT Act
08/22/2019Medically Necessary Early Refills due to Wildfires
07/23/20192019 Cost of Dispensing Survey
05/02/2019Pharmacy Program Updates - 2019 May
04/16/2019Dsuvia and Spravato Conditions of Payment
01/31/2019 Alaska Medicaid Pharmacy Update - January 2019
12/07/2018 Alaska Medicaid Pharmacy Update - December 2018
10/09/2018 Alaska Medicaid Pharmacy Update - September 2018
09/10/2018 Pharmacy Program Updates - 2018 Fall
12/28/2017 Letter to Providers: Limit on Federal Financial Participation for Durable Medical Equipment in Medicaid
09/22/2017 Letter to Providers: HCV DAA PA Clinical Criteria for Use
09/22/2017 HCV DAA PA Clinical Criteria for Use - FINAL
09/01/2017 HCV DAA PA Clinical Criteria for Use (superseded by 09/22/2017 Final version)
03/31/2017 CMS-2345-FC Final Rule Effective April 1, 2017
03/24/2017 Opioid Claims ICD-10 Guidance for Pharmacies
03/21/2017 Alaska Medicaid Pharmacy Opioid Management Strategies and Initiatives
08/22/2016 Pharmacy Program Changes and Updates - August 2016
08/09/2016 Alaska Medicaid Pharmacy - Naloxone
07/27/2016 835 Electronic Remittance Advice Transmission Delay - Pharmacy Providers
07/05/2016 Drug Utilization Review Update - Direct Acting Antivirals
04/18/2016 New Federal Upper Limits for Multiple Source Drugs - Second Notice
04/01/2016 New Federal Upper Limits for Multiple Source Drugs
03/14/2016 Medicaid Policy Clarification: Cost of Gloves Used by Assisted Living Home Employees
06/29/2015 Pharmacy Program Changes and Updates - June 2015
04/29/2015 Pharmacy Program Changes and Updates - April 2015
02/17/2015 Pharmacy Preferred Drug List Update
02/02/2015 Pharmacy Program Changes and Updates - Winter 2015
01/29/2015 Pharmacy Program Update - Prior Authorization Pamphlet Regulations
12/23/2014 Pharmacy Program Changes and Updates - Fall 2014
07/24/2014 FDA Approved Covered Outpatient Drugs
05/07/2014 New State Maximum Allowable Cost - Effective 7/1/2014
04/22/2014 Regulation Changes: Outpatient Drugs and Pharmacy Claims
02/25/2014 Pharmacy Program Changes and Update – February 2014
12/17/2013 Pharmacy Program Changes and Update – December 2013
08/22/2013 Letter to Providers: Pharmacists and Prescribers Must be Enrolled in Alaska Medicaid to Prescribe for Medicaid Recipients
05/24/2013 Pharmacy Program Changes and Update – Summer 2013
05/09/2013 Pharmacy Program Changes and Update – May 2013
03/27/2013 Pharmacy Program Changes and Update – March 2013
01/24/2013 Pharmacy Program Changes and Update – Jan 2013
12/14/2012 Pharmacy Website Address Changes – Dec 2012
11/14/2012 Pharmacy Program Changes and Update - Nov 2012
10/01/2012 Atypical (2nd Generation) Antipsychotics - Clarification
06/11/2012 Brand Name Multisource Medication Claims and Atypical Antipsychotics Update - June 2012
05/15/2012 Pharmacy Program Changes and Update - May 2012
04/23/2012 Spring Update - 2012
02/21/2012 Pharmacy Program Changes and Update - Feb 2012  
02/16/2012 Pharmacy Program Changes and Update - Winter 2012  
02/10/2012 Opioid Theraputic Duplication Edits  
02/10/2012 Pharmacy Preferred Drug List Update  
01/10/2012 Myers and Stauffer Cost of Dispensing Survey Letter - Chain Pharmacy
01/10/2012 Myers and Stauffer Cost of Dispensing Survey Letter - Chain Pharmacy
01/10/2012 Myers and Stauffer Cost Dispensing Survey Letter - Independent Pharmacy
01/09/2012 Details Regarding NCPDP D.O Processing Changes for Pharmacy Claims: Update Letter
12/19/2011 Mediset Fee FAQ and Guidance Letter
12/13/2011 Details Regarding NCPDP D.O Processing Changes for Pharmacy Claims: Update Letter (revised 01/09/2012)
12/01/2011 Pharmacy Dispensing Fee Annual Prescription Volume Letter and Survey Form
11/21/2011 NCPDP D.0 Claims Processing: Update Letter
10/28/2011 Pharmacy Claims Reprocessing for Dispensing Fees - DOS: October 5, 2011 through October 21, 2011
09/26/2011 Pharmacy Coverage and Payment - New Prior Authorization and Quantity Limits
09/07/2011 Emergency regulations regarding reimbursement for Medisets: Effective 9/7/2011
08/31/2011 In-state pharmacy and dispensing prescriber payment regulation changes: Effective 9/7/2011
08/31/2011 Out of state pharmacy payment regulation changes: Effective 9/7/2011
08/01/2011 In-state pharmacy and dispensing prescriber payment regulation changes: Effective 9/7/2011 (revised 08/31/2011)
08/01/2011 Out of state pharmacy payment regulation changes: Effective 9/7/2011 (revised 08/31/2011)
07/22/2011 Opioid Quantity Limits Effective August 22, 2011
04/29/2011 Tobacco Cessation Medications and Counseling
04/15/2011 Prescribers must enroll with Alaska Medicaid
03/31/2011 Diabetic Durable Medical Equipment
11/03/2008 Pharmacy Updates 10-26-10
11/03/2008 NPI Compliance & the Prescriber Identifier
11/03/2008 NPI Required Effective October 31, 2007
11/03/2008 Alaska Medicaid Transition Period for Implementation of National Provider Identifier (NPI)
04/14/2008 Billing Requirements for Drugs Administered in Outpatient Clinical Settings
12/05/2005 Medicare Part D
10/28/2005 Pharmacy Cost Avoidance and Coordination of Benefits
09/13/2004 Implementation of NCPDP Partial Fills Functionality
06/11/2004 Preferred Drug List
12/09/2003 Implementation of NCPDP Version 5.1 Compound Segment
n/a More letters

Alaska Medicaid Non-Tribal Pharmacy Cost of Dispensing Survey August 2019


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Alaska Medicaid Tribal Pharmacy Cost of Dispensing Survey August 2019


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Magellan Rx ManagementSM Publications

Title
Magellan Pharmacy Trend Report
Magellan Rx Report
Medicaid Trend Report
MRx Clinical Alerts

Forms

Title Last Modified
Alaska Medicaid NADAC Price Review Request Form 06/26/2014
Prescription Drug Benefits, Prior Authorization, and Fair Hearing Pamphlet for Recipients 05/12/2014
Botulinum Toxin Prior Authorization Request Form 05/14/2012
Recipient Subtype Eligibility Inquiry Form 01/03/2017
General Medication Prior Authorization Request Form 07/01/2011
Suboxone®/Subutex® Prior Authorization Request Form 02/14/2011
More State of Alaska Health Care Services Pharmacy Medication Prior Authorization Forms.  

Documents

Title Size Last Modified
Alaska Medicaid D.0 Payer Specification 659 KB 07/28/2014
Pharmacy Billing Quick Reference 149 KB 06/26/2014
Prescription Drug Benefits, Prior Authorization, and Fair Hearing Pamphlet for Recipients 106 KB 05/12/2014
2012 Alaska Medicaid Cost of Dispensing Survey - Final Report 1 MB 08/17/2012
Current Pharmacy Carrier List 40 KB 08/01/2012
Preferred Drug List - Alaska Division of Health Care Services Web site

Helpful Links

Title
Medicaid Drug Rebate Program
CMS Pharmacist Center
CMS Federal Upper Limits
CMS Pharmacy Pricing