Pharmacy.services.conduent.com

MassHealth Drug List

WEBMassHealth Supplemental Rebate/Preferred Drug List. Link to the list of drugs preferred by MassHealth based on supplemental rebate agreements between MassHealth and drug …

Actived: 9 days ago

URL: https://mhdl.pharmacy.services.conduent.com/MHDL/

MassHealth Drug List

WEBbutalbital 50 mg / acetaminophen 325 mg / caffeine 40 mg / codeine 30 mg drugId:2119. PA< 18 years and PA > 20 units/month. OPIOID ANALGESICS. butalbital 50 mg / …

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MassHealth Drug List

WEBTable 71 : Pediatric Behavioral Health ; Table 72 : Agents not Otherwise Classified ; Table 73 : Iron Agents and Chelators ; Table 74 : Vesicular Monoamine Transporter 2 …

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MassHealth Drug List

WEBProduct may be available through the Massachusetts Department of Public Health (DPH). Please check with DPH for availability. MassHealth does not pay for …

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MassHealth Drug List

WEB123 rows · In general, MassHealth requires a trial of the preferred drug or clinical rationale for prescribing the non-preferred drug generic equivalent. CO. Carve …

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Missouri Medicaid Pharmacy Program

WEBMO HealthNet General Information. MO HealthNet Provider Page. MO HealthNet Clinical Services. MO HealthNet Participant Page. Clinical Services Advisory Groups. The links …

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MassHealth Drug List

WEBProduct may be available through the Massachusetts Department of Public Health (DPH). Please check with DPH for availability. MassHealth does not pay for …

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MassHealth Drug List

WEBOnline PA submission option is available for the following MassHealth Managed Care Organization (MCO) plans: Fallon Health ( CoverMyMeds or SureScripts) Health New …

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MassHealth Drug List

WEBThis drug is available through the health care professional who administers the drug or in an outpatient or inpatient hospital setting. MassHealth does not pay for …

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MassHealth Drug List

WEBPediatric Behavioral Health Medication Initiative See Table 71. Please see the links below for a description of the Pediatric Behavioral Health Medication Initiative (PBHMI), …

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MassHealth Drug List

WEBBenzoyl Peroxide Products: Often used alone for noninflammatory, mainly comedonal acne (Type 1). Used as an adjunctive therapy for mild-moderate …

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MassHealth Drug List

WEBThe MassHealth Drug List Upcoming and Recent Updates. Link to the most recent updates to the MassHealth Drug List. May be subject to change. Effective on …

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MassHealth Drug List

WEBZyprexa Zydis (olanzapine orally disintegrating tablet) 5 mg, 10 mg, 20 mg. 1 unit/day. Zyprexa Zydis (olanzapine orally disintegrating tablet) 15 mg. 2 units/day. † …

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MassHealth Drug List

WEBACPPs and MCOs will follow the non-rebate drugs and biologics criteria as noted on the MassHealth Drug List (MHDL); however, timelines for implementing …

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MassHealth Drug List

WEBBenralizumab. Benralizumab is a humanized monoclonal antibody (IgG1, κ-class) that directly binds to the alpha subunit of the human interleukin-5 receptor (IL …

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MassHealth Drug List

WEBVyvanse. PA - < 3 years or ≥ 21 years and PA > 2 units/day. BP. lisdexamfetamine chewable tablet. Vyvanse. PA. BP. Please note: In the case where the …

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MassHealth Drug List

WEBBaqsimi PD. test. glucagon vial. test. glucagon vial-Glucagen. Glucagen. test. Please note: In the case where the prior authorization (PA) status column indicates …

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MassHealth Drug List

WEBFor dually eligible members (members who are eligible for both Medicare Part D and MassHealth), MassHealth may pay for some of these drugs or drug classes, subject to …

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MassHealth Over-the-Counter Drug List

WEBThis page lists the only over-the-counter (OTC) drugs that are covered by MassHealth without prior authorization (PA). All other OTC drugs require PA, except select OTC …

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