Medicaid Pharmacy Program began developing and implementing point of sale edits on pharmacy claims.These pharmacy claim edits are put into place to promote beneficiary safety, efficient drug utilization, and proper unit billing.
The drug names included on this list are for reference and in no way guarantees current coverage by Medicaid or commercial product availability.Inclusion on this list also does not guarantee beneficiary eligibility for pharmacy drug coverage, or whether other requirements (such as prior authorization) need to be met in order for payment by Medicaid.
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