Iowa

The Department of Health and Human Services, Iowa Medicaid posted the following:

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

2023-06-16T11:12:20-04:00June 16, 2023|Iowa|

Maine

On June 15, the Maine legislature approved LD 899, a bill that would authorize certified pharmacy technicians to administer vaccines under the direct supervision of a pharmacist and complete a certification program. Said certification program must be approved by the board and have at least six (6) hours of vaccine-related training that includes, at a minimum, training on the safe and effective administration of vaccines, hands-on injection technique, clinical evaluation of indications and contraindications of vaccines and the recognition and treatment of emergency reactions to vaccines and cardiovascular life support training. Lastly, the bill also clarifies the timing of when vaccine administration training requirements must be completed by pharmacists. The measure was approved with an emergency preamble and will be effective upon signing by the Governor.

For more information, please contact NACDS’ Ben Pearlman at 617-515-2603.

2023-06-16T11:11:49-04:00June 16, 2023|Maine|

Maryland

Medicaid issued Advisory #248 from the Office of Pharmacy Services in reference to the Generic vs. Brand Status on Maryland’s Preferred Drug List effective July 1, 2023

For more information, contact NACDS’ Jill McCormack at 717-592-8977.

2023-06-16T11:11:21-04:00June 16, 2023|Maryland|

Michigan

NACDS filed comments with the Department of Insurance and Financial Services (DIFS) supporting its proposed rule pursuant to the PBM (Pharmacy Benefits Managers) Licensure and Regulation Act. 

For more information, contact NACDS’ Jill McCormack at 717-592-8977.

2023-06-16T11:10:52-04:00June 16, 2023|Michigan|

New Hampshire

Gov. Chris Sununu (R) signed SB 35, a bill that authorizes pharmacists, pharmacy interns and licensed advanced pharmacy technicians to administer an RSV vaccine to adults.

For more information, please contact NACDS’ Ben Pearlman at 617-515-2603.

2023-06-16T11:10:16-04:00June 16, 2023|New Hampshire|

Oregon

The Oregon Board of Pharmacy permanently adopted the following rules at the June 2023 Board Meeting:  

Also in Oregon, the House passed the following bills this week: 

  • HB 2725 (A-Engrossed), legislation prohibiting PBMs from retroactively denying or reducing payment on a claim after adjudication unless the pharmacy and the PBM agree that payment was incorrect due to a clerical error and requiring PBMs, if denying or reducing reimbursement on a claim, to provide notice to the pharmacy of the specific claim that is denied or reduced and an explanation for the denial or reduction. 
  • HB 3013 (B-Engrossed), legislation requiring PBMs to be licensed by the Department of Consumer & Business Services, amending the definition of “pharmacy benefit manager”, establishing a rate floor, permitting pharmacies to file a complaint with the Department of Consumer & Business Services, imposing new requirements to coverage of 340B drugs and various other provisions.  

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

2023-06-16T11:09:43-04:00June 16, 2023|Oregon|

Pennsylvania

As a reminder, the state’s Naloxone Copay Assistance Program will reimburse pharmacies up to $75.00 for Naloxone claims for any patient who appears hesitant to fill, regardless of the type of insurance they have (public or commercial), and those without coverage. Developed jointly by NACDS/PACDS members and the Governor’s Opioid Task Force, claims are billed through the PACE (Pharmaceutical Assistance Contract for the Elderly) program’s platform to make it seamless for pharmacies, with little criteria for the patient to qualify. Due to underutilization, the state recently reissued a bulletin outlining NCPDP D.0 payer specifications/billing instructions for pharmacies. It is NACDS’ understanding the $75.00 may be billed for either a copay or to offset total cost.

For more information, contact NACDS’ Jill McCormack at 717-592-8977.

2023-06-16T11:08:47-04:00June 16, 2023|Pennsylvania|

Tennessee

TennCare is continuing the process of reviewing all covered drug classes. Changes to the PDL (preferred drug list) may occur as new classes are reviewed, and previously reviewed classes are revisited. As a result of these changes, some medications your patients are now taking may be considered non-preferred agents in the future. Please inform your patients who are on these medications that switching to preferred products will decrease delays in receiving their medications. We encourage you to contact OptumRx’s Pharmacy Support Center (866-434-5520) or tnrxeducation@optum.com should you have additional questions. For more details on Clinical Criteria, please visit the website.

Also in Tennessee, the Tennessee Pharmacists Research and Education Foundation is looking to partner with 10 additional pharmacies for the Community Outreach Immunization Initiative. This opportunity is open to pharmacies across Tennessee that are willing to engage patients that have not received their COVID-19 vaccination series, as well as any other patients who may have gaps in their vaccination history. This opportunity will be a nine (9) month commitment and could earn your pharmacy up to $31,500. If you are interested register at the link here. If you have further questions about this opportunity, reach out to Danielle McCoy. 

Finally in Tennessee, this communiqué has been sent to provide further clarification on the buprenorphine update changes that became effective May 15, 2023. Additionally, you will find an updated memo that properly reflects the recent buprenorphine changes for your records.  

We encourage you to review this information thoroughly and contact the OptumRx Pharmacy Supports Center at 866-434-5520 or tnrxeducation@optum.com should you have questions.  

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2023-06-16T11:08:13-04:00June 16, 2023|Tennessee|

Texas

The Health and Human Services Executive Commissioner Cecile Erwin Young announced that Emily Zalkovsky will lead the Medicaid and CHIP Services division as the Medicaid Director, effective July 1, replacing Stephanie Stephens.

Also in Texas, the Health and Human Services Commission (HHSC) is aware of a drug shortage for the brand name Chantix in the Smoking Cessation drug class due to a manufacturing delay of this product by Pfizer. In response to the preferred brand name Chantix shortage, HHSC removed the non-preferred status from the generic product, varenicline, on the preferred drug list. 

Also in Texas, the HHSC Vendor Drug Program’s (VDP’s) Medicaid-enrolled pharmacy providers must ensure their email address is on file and up to date within the Provider Enrollment and Management System (PEMS). You can access the PEMS-associated job aid, Verifying an Email in PEMS (PDF), on tmhp.com if you need help confirming your email address. Your correct email address in PEMS means you will receive timely enrollment-related notifications from TMHP (Texas Medicaid & Healthcare Partnership). If you have marked TMHP notifications as spam or have blocked TMHP notifications, you will no longer receive those notifications. Additional information related to email addresses in PEMS is available in the Preparing for PEMS Guide (PDF) on tmhp.com. 

Finally in Texas, HHSC VDP has updated two manuals of interest to pharmacies: 

  1. The VDP Website Handbook includes several resources and references for stakeholders. Many are updated regularly and can resolve issues or prevent the need for a phone call to the help desk or emailing HHSC. This manual provides guidance and instruction on viewing or downloading manuals, forms and delimited data files. 
  2. Pharmacy Provider Procedural Manual (PPPM) is a comprehensive resource for pharmacy providers enrolled with HHSC. The VDP publishes this manual with information about benefits, policies and procedures for outpatient pharmacy claims and rebates. 

For more information, contact NACDS’ Mary Staples at 817-442-1155.

2023-06-16T11:06:43-04:00June 16, 2023|Texas|
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