Ohio
The Board of Pharmacy published a series of proposed rule changes and rescissions they intend to work on this winter. Comments are due to the board on January 17, 2024.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Oklahoma
The Tenth Circuit Court of Appeals denied the State of Oklahoma’s petition for rehearing in PCMA v. Mulready. The state now has 90 days to petition the Supreme Court for further review.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Texas
The Health and Human Services Commission (HHSC) Vendor Drug Program (VDP) now covers the 2023-2024 Pfizer-BioNTech, Moderna and Novavax commercial COVID-19 vaccines as a pharmacy benefit for both Medicaid managed care and fee-for-service, as well as the Children’s Health Insurance Program (CHIP).
Also in Texas, Medicaid will perform the semi-annual update of the Medicaid preferred drug list on January 25, 2024. The Health and Human Services Commission (HHSC) made the PDL changes based on recommendations made at the October 2023 Drug Utilization Review Board meeting. Drug list recommendations from the meeting are available. Drugs with preferred status drugs may include brand name medication which would not require a PDL prior authorization nor the value of “1” in the “Dispense as Written (DAW) Product Selection code” field (408-D8). Refer to the Dispense as Written section of the Formulary Coverage chapter of the Pharmacy Provider Procedure Manual for more information.
Also in Texas, the Health and Human Services Commission (HHSC) is soliciting comments on the prospective clinical prior authorization proposals likely to be presented at the Texas Drug Utilization Review (DUR) Board meeting on January 26, 2024. The board reviews and recommends clinical criteria and the preferred or non-preferred drug status on the Medicaid formulary.
Also in Texas, December 11 was the filing deadline for the March 5, 2024, primary election.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Vermont
The Board of Pharmacy is scheduled to hold its regular meeting on December 20; the agenda has been posted.
For more information, please contact NACDS’ Ben Pearlman at 617-515-2603.
Washington
Gov. Jay Inslee (D) hosted a roundtable this week to discuss the fentanyl crisis and laid out his proposals for the upcoming legislative session. The governor’s budget adds over $50 million in new funding to take down opioids for the 2023–25 biennium, augmenting the investments from the state’s $82 million opioid settlements with drug manufacturers and pharmacies responsible in part for the opioid crisis and general fund investments within the 2023–25 biennial budget. The biennial budget allocated over $200 million for substance use disorder (SUD) treatment facility operations, rental subsidies for people with SUD, treatment subsidies, criminal diversion programs, peer support services, Tribal SUD grants and more.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Alaska
The Board of Pharmacy is meeting on November 16. The agenda and public packet are available on the Board’s website.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Arkansas
Candidates interested in running for state and federal offices in 2024 filed for office on November 6 through 14, 2023. At the top of the ballot will be the Presidential race, then the four U.S. Congressional House of Representatives seats, plus eighteen members of the thirty-five member Arkansas Senate, all one hundred members of the Arkansas House of Representatives. The primary election date is March 5, 2024, followed by the runoff on April 2, 2024, and the general election on November 5, 2024.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
California
The Department of Health Care Services (DHCS) posted the following alerts and weekly notices on the Medi-Cal Rx Web Portal.
- Medi-Cal Rx Weekly Wrap-up for November 3-9 (November 10)
- Reinstatement Spotlight (November 10)
- Enteral Nutrition Updates to the List of Contracted Enteral Nutrition Products, Effective November 1, 2023 (November 8)
- November Provider Payment Release Date Change (November 8)
- Reminder: Reinstatement of Brand Medically Necessary Prior Authorization Request Requirements for DAW (Dispense as Written) 1 Claims (November 8)
- Deactivation of Override Code “55555” for Select Drug/Products – Medi-Cal Rx Program Integrity Update (November 3)
- Medi-Cal Rx Weekly Wrap-up for October 27-November 2 (November 3)
- Reinstatement Spotlight (November 3)
Also in California, the DHCS (Department of Health Care Services) also posted the following:
For more information, contact NACDS’ Sandra Guckian at 703-774-4801.
Florida
Due to a delay in verifying the Medicaid weekly funding, provider payments will not be available until November 17. Please note that the “Payment Issue Date” on the remittance advice and all other generated information will remain the same. If you need assistance or have questions about provider payments, please contact the Provider Services Contact Center at 1-800-289-7799, option 7. This is a one-time delay with the regular weekly Thursday payment schedule. Due to the holiday falling on the regular weekly Thursday schedule, payment will be made on November 22.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.