- Opioid Dosing Guidelines
- WA Health Care Authority Washington State PDL, Prescription Assistance Program Information
- WPDL List effective July 1, 2008
- State Maximum Allowable Cost (SMAC) list effective July 1, 2008
Pharmacy Information
NEW!
Beginning July 1, Medicaid clients will be able to access a new stop-smoking benefit that will include counseling and prescription drugs. See Memo 08-22 titled "Prescription Drug Program: Expanded Smoking Cessation Program and Changes to the Washington PDL and List of Limitations on Certain Drugs".
In September, 2008 the Department of Social and Health Services plans to implement the new ProviderOne Point-of-Sale (POS) system. See Memo 08-12 titled "New ProviderOne Pharmacy Point-of-Sale System Implementation".
Enroll in the Pharmacy Policy Listserv to receive policy updates and other important information for Medicaid enrolled pharmacies!
Tamper-resistant prescription pads became a requirement for Medicaid prescriptions April 1, 2008.
Click here for a list of tamper-resistant prescription pad suppliers.
More information is listed on the federal Medicaid Web site at http://www.cms.hhs.gov/center/intergovernmental.aspAre you a Provider? Please take a moment to participate in the DSHS Provider Survey.
Where can I find?
- Pharmacy News and Announcements. Information on new drugs, Healthy Options clients that self refer, Second Opinion Network Providers list, Fair Hearings, information on transportation for clients, Medicare Part D, Preferred Drug List (PDL) and fax form for requests, Mental Health Pharmaceutical News, and Reports.
- Pharmacy Prior Authorization. Prior Authorization fax forms, PDL drug list, and list of limits.
- Prescription Billing. Current Expedited Authorization (EPA) list, Prescription Drug Program Billing Instructions, HRSA Preferred Drug Lists (PDL), Numbered Memorandums.
- WA Preferred Drug List (PDL). List of preferred drugs. Link on how to become an endorsing prescriber.
- Pharmacy Reimbursement. Request to Change Reimbursement fax form, current SMAC list, AWP-50% exclusions, Federal Upper Limits and NCPDP Billing Standards.
- Substance Abuse: A Provider Toolkit (NEW). Chemical Dependency Treatment, Treatment for Chronic Pain, Curb Abuse and Misuse of Medical Resources, and Dual Disorder Programs.
- HRSA Criteria For Authorization of Suboxone
- Current List of Participating Drug Rebate Manufacturers (Excel spreadsheet).
For comments or questions regarding Health and Recovery Services Administration: contact us.