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New Hampshire Department of Health and Human …

Web* Indicates a generic is available without PA. ** Indicates when additional Prior Approval is required for the therapeutic class, even when using a preferred product. *** Indicates …

Actived: 3 days ago

URL: https://nh.magellanrx.com/documents/51139/68986/NHRx_PDL.pdf/8eb713b0-cc1d-7fd9-a0c3-12988cb1c1b7?t=1677610996864

New Hampshire Department of Health and Human Services …

Webtherapeutic class, even when using a preferred product. *** Indicates when quantity limits apply. This list may not include all available formulations listed specifically by name. NH …

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New Hampshire Medicaid Pharmacy Provider Manual

WebThe New Hampshire Medicaid pharmacy provider network will consist of DHHS-contracted pharmacies. To enroll as a Medicaid pharmacy provider, contact the Provider Enrollment …

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NOTICE OF NEW HAMPSHIRE MEDICAID FEE FOR SERVICE …

Web1 NOTICE OF NEW HAMPSHIRE MEDICAID FEE FOR SERVICE DRUG UTILIZATION REVIEW BOARD PUBLIC HEARING May 7, 2024 The New Hampshire Drug Utilization …

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New Hampshire Maintenance Medications

WebProprietary & Confidential Page 1 © 2021 Magellan Health, Inc. All rights reserved. NEW HAMPSHIRE MEDICAID MAINTENANCE MEDICATIONS LIST September 16, 2021

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NEW HAMPSHIRE MEDICAID PHARMACY PROGRAM

Webeffective October 1, 2023 (updated March 15, 2024) The State of New Hampshire Department of Health and Human Services contracts with Magellan Rx Management to …

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NEW HAMPSHIRE MEDICAID PHARMACY PROGRAM

WebR e v i s e d 4 /1/ 2 0 2 3 P a g e 1 | 3 NEW HAMPSHIRE MEDICAID PHARMACY PROGRAM TO: New Hampshire Medicaid Providers FROM: New Hampshire …

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NEW HAMPSHIRE MEDICAID PHARMACY PROGRAM

Webeffective October 1, 2023 (updated January 1, 2024) New Hampshire Medicaid Diabetic Supply Program. The State of New Hampshire Department of Health and Human …

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NEW HAMPSHIRE FEE-FOR-SERVICE MEDICAID

Webnh.magellanrx.com. If you have questions regarding the content of this notice, please contact the Magellan Rx Management Clinical Manager at (443) 201-6789. In addition, …

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New Hampshire Fee-For-Service Medicaid Pharmacy Pro gram

Web1 New Hampshire Fee-For-Service Medicaid Pharmacy Pro gram . TO: New Hampshire Medicaid Providers FROM: New Hampshire Department of Health and Human Services/ …

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340B Covered Entities, except for DHHS approved family …

Web340B Covered Entities, except for DHHS approved family planning providers, shall not bill NH Medicaid for drugs purchased through the 340B Program.

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340B Covered Entities, except for DHHS approved family …

WebBilling Information Effective March 1, 2017: Note change in NH Health Families values. NH Medicaid Prescription POS Billing Information BIN PCN Group

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Updated Standing Orders: COVID-19 Rapid Antigen At-Home …

WebUpdated Standing Orders: COVID-19 Rapid Antigen At-Home-Test New Hampshire Medicaid Pharmacy Program (Fee-for-Service and Managed Care) Updated Standing …

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NH Brand Name MSP Criteria

WebPage 2 | Brand Name MSP Drug Product Criteria Revision History Reviewed by Reason for Review Date Approved Pharmacy & Therapeutic Committee New 10/25/2007

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New Hampshire NCPDP D.0 Payer Specifications

WebContact/Information Source: https://newhampshire.magellanmedicaid.com. Certification Testing Window: TBD Certification Contact Information: 804-217-7900 Provider …

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340B Covered Entities, except for DHHS approved family …

Web1 New Hampshire Fee-For-Service Medicaid Pharmacy Program TO: FROM: DATE: SUBJECT: New Hampshire Medicaid Providers New Hampshire Department of Health …

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