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Pharmacy
Resources/Letters
SeniorCare
Letters
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Revision of approval criterion for certain brand medically necessary
drugs, 11/1/04
Effective immediately, the Department of Health and Family Services
is revising one approval criterion for certain brand medically
necessary (BMN) narrow therapeutic index (NTI) drugs.
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Notice to
Medicaid and BadgerCare Recipients and SeniorCare Participants,
9/1/04
Effective September 1, 2004, Wisconsin Medicaid and BadgerCare fee-for-service recipients
and all SeniorCare participants will be required to have prior
authorization for certain brand name drugs.
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100 Day Supply for Prescription Drugs,
8/3/04
Wisconsin Medicaid, BadgerCare, and SeniorCare allow a limited number of
maintenance drugs to be dispensed in a 100-day supply to assure continuity of
use for certain necessary medications.
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Generic Substitution from Clozaril® to Clozapine, 8/1/04
Prescriber and CSP/Case Management letters, recipient
brochure, and Wisconsin Medicaid and BadgerCare Updates.
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Medicaid
Preferred Drug List (PDL) and Supplemental Rebates, 7/12/04
As part of the effort to control costs and provide
clinically sound drug therapy for recipients, the Department of Health
and Family Services (DHFS) will expand the selection of preferred
medications based on a review of the relative clinical effectiveness
and cost of products within selected therapeutic classes.
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Prilosec OTC —
Pharmacy Letter, 6/16/04
This letter provides important information regarding the temporary
shortage of Prilosec over-the-counter (OTC).
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SSRI Letter —
Pharmacy Provider, 2/20/04
This letter includes important information regarding prior
authorization
for brand-name Selective Serotonin Re-uptake Inhibitors (SSRIs) — Effective March 15, 2004.
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STAT-PA
Letter — Nonsedating Antihistamine Drugs, 11/12/03
This letter is regarding all nonsedating antihistamines except
over-the-counter Loratadine, effective after December 1, 2003.
Attached is the STAT PA-Drug Worksheet for Nonsedating Antihistamine Drugs.
- Reimbursement Rate Change
Letter for Providers (PDF, 15 KB), 8/7/03
This letter is regarding reimbursement rate change for pharmacies, effective
August 15, 2003.
- New FluMist
Vaccine Letter for Providers (PDF, 20 KB), 8/4/03
This is a letter to providers clarifying coverage of the new FluMist vaccine.
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Medicaid Family Planning Waiver Program Notice (PDF, 99 KB),
5/16/03
This is a notice regarding the operational status of the Medicaid Family
Planning Waiver Program.
Other Resource Materials
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