California

The Department of Health Care Services posted the following alerts and weekly notices on the Medi-Cal Rx Web Portal.  

• 45-Day Countdown – Cal MediConnect Transition to Medicare Medi-Cal Plans (November 16) 
• Update to Policy and Billing Guidance for Pharmacy Providers on COVID-19 Oral Antiviral, Paxlovid (November 11) 
• Policy and Payment Allowance Update for Provider-Purchased Bebtelovimab for Treatment of COVID-19 (November 11) 
• Medi-Cal Rx Weekly Wrap-Up for November 4-10 (November 11) 
• NCPDP (National Council for Prescription Drug Programs) Reject Code 80 and Diagnosis Documentation of Code 1 Restriction (November 9) 
• Changes to the Family PACT Pharmacy Formulary (November 7) 
• Prior Authorization Required: Reject Code 75 Reminder (November 4) 
• Medi-Cal Rx Weekly Wrap-Up for October 28-November 3 (November 4) 

Also in California, Medi-Cal posted the following:  

• Medi-Cal Update – Durable Medical Equipment and Medical Supplies – November 2022 Bulletin 566 (November 16) 
• Medi-Cal Update – Pharmacy – November 2022 – Bulletin 1027 (November 16) 

For more information, contact NACDS’ Sandra Guckian at 703-774-4801.