California

The Board of Pharmacy announced the modification and/or extension of the waivers of Pharmacy Law issued in response to the Los Angeles Fires.

The waiver that provides flexibility to increase the number of pharmacy technicians a pharmacist may supervise has been modified and the expiration date has been extended to June 30, 2025 (or the termination date of the state of emergency, whichever is sooner).

The expiration date of the waiver that provides flexibility for pharmacy personnel to perform some functions from outside of a licensed pharmacy has been extended to June 30, 2025 (or the termination date of the state of emergency, whichever is sooner).

The expiration date of the waiver to allow for the delivery of drugs to an alternate location has been extended to March 31, 2025 (or the termination date of the state of emergency, whichever is sooner).

Also in California, the Department of Health Care Services posted the following:

Finally in California, the Department of Health Care Services posted the following alerts and a weekly notice on the Medi-Cal Rx Web Portal. Please note the 2025 prescription volume attestation survey will be available to providers March 1 through March 31. Also, to avoid mail delivery delays and save paper, Medi-Cal Rx encourages pharmacy providers to opt into receiving the Medi-Cal Rx remittance information via the Electronic Remittance Advice (ERA) format.

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

California

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

California

As of January 27, the Palisades Fire, Eaton Fire, and Hughes Fire have burned nearly 50,000 acres in the Los Angeles County area. The Palisades Fire is at 94% containment, Eaton Fire is at 98% containment, Hughes Fire is at 95% containment. There have been minimal pharmacy closures in the impacted areas of California due to the wildfires. Healthcare Ready deactivated RxOpen on January 28 but will be monitoring the event in case any other impacts arise.

The Emergency Prescription Assistance Program (EPAP) was activated last week– and will remain active through March 15, 2025 – for those impacted by the California wildfires. Pharmacies and pharmacists play an essential role in educating patients about the availability of EPAP benefits. We encourage and support sharing the resources below with the public to enhance awareness:

NACDS is working with Healthcare Ready to provide support with outreach. Any insight, feedback or concerns regarding patient utilization of EPAP is appreciated. Please share your feedback with NACDS’ Lincy Abraham no later than February 3. If you are interested and willing to help support efforts to enhance awareness, you may also contact Healthcare Ready at 866-247-2694.

Also in California, the Department of Health Care Services (DHCS) issued a Notice of Proposed Rulemaking pertaining to Pharmacist Services, DHCS-19-002. The written comment period closes on February 5, 2025. DHSC posted the following related to the Public Comment Period

Also in California, the Department of Health Care Services posted the following weekly notice on the Medi-Cal Rx Web Portal: Medi-Cal Rx Weekly Wrap-up for January 17-23.

Also in California, the Board of Pharmacy has proposed additional modifications to Title 16 CCR § 1711, related to the Quality Assurance Programs. Any person who wishes to comment on the proposed modifications may do so by submitting written comments beginning January 27 and ending on February 11, to the following:

Contact Person: Lori Martinez

Agency Name: California State Board of Pharmacy

Address: 2720 Gateway Oaks Drive, Ste 100, Sacramento, CA 95834

Email: PharmacyRulemaking@dca.ca.gov

Fax: (916) 574-8618

Any responses to comments directly concerning the proposed modifications to the text of the regulations will be considered and responded to in the Final Statement of Reasons.

All documents related to this regulatory action are available on the Board’s website: https://www.pharmacy.ca.gov/laws_regs/pending_regs.shtml.

Also in California, the board of pharmacy issued a reminder that licenses that are eligible for renewal will be processed online effective January 1, 2025. Those who are eligible include:

In most cases, the license expires at the end of the month of the licensee’s registered birthday for pharmacists, advanced practice pharmacists and pharmacy technicians. For designated representatives, the license expires at the first of the month.

The Board of Pharmacy will no longer mail out a paper renewal application for the above licenses. In its place, a postcard reminder will be sent approximately six weeks prior to the license expiration date and the licensee will renew by going to www.pharmacy.ca.gov. The postcard is only a reminder, if the licensee does not receive a postcard, they are still required to submit his/her payment on-time to avoid a delinquency fee and possible cancellation of the license.

For Pharmacists and Advanced Practice Pharmacists, if your license expired more than two years ago, you are not eligible to renew your license online. Contact the Board at RenewalStatus@dca.ca.gov for assistance.

Renewal payment transactions must be completed prior to 5:00 pm Pacific on the date the license expires to avoid the delinquency fee.

Online payments made after 5:00 p.m. Pacific Time are not credited on the day of the transaction. Print the payment confirmation at the end of this transaction for your records. Once the online payment is submitted, please allow two business days for processing.

Licensees are required to notify the board of any change of address within 30 days. Change of address may take between 7-10 business days to update in the system. If the correct address is not in the system at the time of renewal, the process may be delayed. Address changes can be made on-line or in writing to the board.

When renewing online, the licensee must confirm that his/her address is correct before submitting the paymentFees changed beginning January 1, 2025. The updated fee schedule with the new fees has been posted on the board’s website.

Also in California, the Board of Pharmacy posted the February 5-6, 2025 Board meeting agenda on its website. Of interest, please note the discussion and possible action related to compounded drug preparations, hazardous drugs and radiopharmaceuticals and waiver of pharmacy law provisions in response to the state of emergency related to the Palisades Fire.

Finally in California, Covered California announced a special enrollment period for residents of Los Angeles and Ventura counties until March 8, 2025. Resources are available through Los Angeles County and the State of California.  Of the 1.3 million uninsured Californians who qualify for subsidies through Covered California or are eligible for Medi-Cal coverage, 356,000 reside in Southern California. Through the BenefitsCal portal, Californians can get and manage benefits online. This includes food assistance (CalFresh, formerly food stamps), cash aid (CalWORKs, General Assistance, Cash Assistance Program for Immigrants), and affordable health insurance (Medi-Cal).

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

Vermont

The Vermont Office of Profession Regulation (OPR) is conducting a public hearing on the proposed Pharmacy Administrative Rules update.  Public comments are welcome until March 31, 2025.  To submit comments, please email sos.opr.comments@vermont.gov.

OPR will also hold three public meetings to invite comment from the public and stakeholders on the draft Administrative Rules. Public hearings will be held at 89 Main Street, 3rd floor, Montpelier, VT 05620. To join the meetings online, see the information below:

Tuesday, February 18, 2025, from 2:00 pm to 4:00 pm.
Join the meeting now

Meeting ID: 293 389 690 612

Passcode: 9Th7n98t

Dial in by phone

+1 802-828-7667,,168777875#

Phone conference ID: 168 777 875#

Wednesday, February 19, 2025, 10:00 am to 12:00 pm

Join the meeting now

Meeting ID: 257 060 957 271

Passcode: Hj2ZQ2MN

Dial in by phone

+1 802-828-7667,,207994027#

Phone conference ID: 207 994 027#

Thursday, February 20, 2025, from 6:00 pm to 8:00 pm.
Join the meeting now

Meeting ID: 212 020 234 592

Passcode: RE2J2EA2

Dial in by phone

+1 802-828-7667,,301656014#

Phone conference ID: 301 656 014#

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

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

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

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

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

2025-01-30T13:20:46-05:00January 30, 2025|Vermont|

California

On January 17, the Department of Health Care Services (DHCS) issued a news release detailing the Department’s work to expand support for Medi-Cal members impacted by the Southern California wildfires. DHCS swiftly implemented key administrative flexibilities to protect Medi-Cal members in affected regions of the state. These efforts included simplified Medi-Cal enrollment and renewal processes, waived requirements to access prescription medications and medical devices and other flexibilities to ensure all Medi-Cal members have access to care during this emergency. Additionally, DHCS is actively seeking further federal flexibilities to expand support for impacted Medi-Cal members and providers.  

Also in California, beginning January 17, the federal Assistant Secretary for Preparedness and Response (ASPR) activated the Emergency Prescription Assistance Program (EPAP) for specific zip codes in California to help uninsured residents replace prescription medicines and/or certain medical equipment lost or damaged in the 2025 Los Angeles Fires. EPAP has been activated through March 15, 2025. To locate participating pharmacies, visit EPAP Enrolled Pharmacies 

Also in California, on January 17, DHCS began hosting a weekly Medi-Cal Rx Pediatric Integration webinar. Webinars will be held every Friday from 12:00 noon to 1:00 pm PST to support partner readiness. Partners, including pharmacy providers and prescribers, should plan to attend a webinar prior to the implementation of Medi-Cal Rx Pediatric Integration on January 31. More information is available on the Medi-Cal Rx Education & Outreach webpage. 

Finally in California, the Department of Health Care Services posted the following alerts and weekly notice on the Medi-Cal Rx Web Portal:  

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

Vermont

On September 25, the Board of Pharmacy held its regular meeting. Of interest, one posted agenda item was new officer elections.

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

2024-09-26T10:41:03-04:00September 26, 2024|Vermont|

Vermont

The Board of Pharmacy will be holding its regularly scheduled meeting on September 25, 2024, at 9:00 am. The meeting will be hybrid and recorded.

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

2024-09-19T10:42:45-04:00September 19, 2024|Vermont|

Vermont

Medicaid has updated its contact information due to the transition of Change Healthcare (CHC) to Optum.

Contact Old New
Help Desk PBA_VTHelpdesk@changehealthcare.com

Physicians: (p)1-844-679-5363

(f) 1-844-679-5366

Pharmacies: (p)1-844-679-5362

VermontHD@optum.com

Note:

Phone and Fax numbers remain the same

Provider paper billing address 1 Green Tree Drive

South Burlington, VT

45 Commerce Dr, Suite 5

Augusta, ME 04330

PA Fax Remains the same: 1-844-649-5366

Also in Vermont, the Department of Vermont Health Access (DVHA) continues a phased recovery following the outage that occurred in February 2024, due to the national cyber security issue affecting Optum/Change Healthcare. Beginning August 7, 2024, edits for Reject-75, Prior Authorization Required, will return to normal functioning in the pharmacy claims system.

  • Claims for non-preferred items on the Preferred Drug List (PDL), including medications obtained during the outage, that do not have an active Prior Authorization on file, will now begin to reject. This also includes preferred medications subject to clinical review and medications requiring step therapy. Please refer to the PDL for medication specific coverage criteria.
  • An emergency fill can be dispensed when a required prior authorization has not been secured, and the need to fill the prescription is determined to be an emergency. If the prescriber cannot be reached to obtain the required prior authorization, the pharmacist may dispense an emergency supply to last up to 72 hours.

Please continue to refer to the Preferred Drug List to review preferred and non-preferred medications. Providers requiring assistance with submitting a prior authorization may contact the Optum Pharmacy Helpdesk at VermontHD@Optum.com, the Prescriber Helpdesk at (1-844-679-5363) or the Pharmacy Helpdesk at (1-844-679-5362).

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

2024-08-08T08:16:15-04:00August 8, 2024|Vermont|

Vermont

On June 10, the Department of Vermont Health Access (DVHA) informed pharmacy providers of some important updates in the restoration of pharmacy services that were implemented in the Medicaid system, effective June 8.

  • Drug Pricing Updates:

NADAC (National Average Drug Acquisition Cost), AWP (Average Wholesale Price), FUL (Federal Upper Limit) and SMAC (State Maximum Allowable Drug Cost) drug pricing will be updated to reflect the most accurate and up-to-date pricing information.

  • New Drug Products and NDC (National Drug Code) Updates:

The Medicaid system will be updated to include the latest Medispan drug files which will add new drug products and NDCs that have been missing during the restoration process. This update will enhance Medicaid’s database with comprehensive information regarding the latest medications available.

  • SMAC Disputes:

Medicaid updated its contact information for SMAC disputes. Please note the updated email address below:

  • Rejected Claim Issues:

Pharmacy Providers with claims still requiring assistance from the system outage (February 21, 2024 – March 18, 2024), please contact the Pharmacy Helpdesk at CHC/Optum for assistance.

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

2024-06-13T14:34:09-04:00June 13, 2024|Vermont|
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