Medicaid coverage season for Synagis will end March 31, 2022. Pharmacy providers should not submit point of sale claims with date of service after March 31, 2022, for any prior authorization granted during the eight-month extended coverage season from Aug. 15, 2021, to March 31, 2022. Physician providers should submit an EPSDT request for coverage of Synagis beyond March 31, 2022. More information can be found here.
Also in North Carolina, as indicated in the previously issued standing order, which allows qualified pharmacists’ authority to initiate hormonal contraceptive therapy, immunizing pharmacists “who provide contraception products in accordance with this standing order must also complete North Carolina Hormonal Contraception Training Program.” The North Carolina Association of Pharmacists (NCAP) has produced this training program, which is now available here. The Board of Pharmacy has agreed to fund the training program for up to 6,000 North Carolina resident pharmacists over the next 12 months. NCAP will maintain records of pharmacists who have completed this training. Board staff are adding a “Contraceptive Trained” status button to each pharmacist’s Board of Pharmacy on-line profile. Once that status button is added, pharmacists will be notified and must log on to their Board profile to record their training (just as pharmacists currently update vaccinator status and long-acting injectable trained status).. ard staff will notify pharmacists as soon as this status update option is operational.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.