Below is information taken from a recent Wisconsin ForwardHealth update in response to COVID-19:
- Effective March 20, 2020, Forward Health is allowing providers to override the overuse precaution (early refill or ER) prospective drug utilization review (DUR) alert for all drugs, except for controlled substances that are currently listed on the Drug Authorization and Policy Override Center Early Refill Drugs list.
- Providers are encouraged to dispense drugs in a three-month supply when possible, using the three-month supply drugs table.
- In emergency situations, pharmacy providers are able to dispense a 14-day emergency supply of a drug when a member receives a prescription for a covered drug with prior authorization restrictions. Drugs dispensed in emergency situations do not require prior authorization. Providers should review the Expedited Emergency Supply Request Drugs table for additional information.
- Providers and members are also encouraged to consider mail delivery services for prescription drugs. Wisconsin Medicaid-enrolled pharmacies are permitted to dispense and deliver prescription or over-the-counter medication to members via the mail when program requirements for coverage are met.
For more information, contact NACDS’ Joel Kurzman at 847-905-0555.