Page 6

during the soothing period will be subject to the MCOs’ HIV/AIDS medication prescribing requirements.

For Pharmacies:

When processing pharmacy claims, please utilize the appropriate BIN, PCN, Group ID, and Cardholder identification numbers based on the patient’s individual MCO plan as is currently done for other covered medications. For a full listing of all the BIN/PCN/Group ID information, please go to the online provider manual, page 9:_http://www.mdrxprograms.com/ooep.html#C1

For Prescribers:

MCOs will work collaboratively with you and your patients during the soothing period to ensure that HIV medication regimens are appropriate and in line with drug coverage options on their respective formularies. When the soothing period ends, prior authorization may be required for certain medications.

If prescribers or pharmacies have any questions about this transmittal, please call the Pharmacy Access Hotline at 1-800-492-5231, option 3. If MCOs have questions, please contact Pam Williams at pam.williams@maryland.gov.

loading…

Page 6

Official source

during the soothing period will be subject to the MCOs’ HIV/AIDS medication prescribing requirements.

For Pharmacies:

When processing pharmacy claims, please utilize the appropriate BIN, PCN, Group ID, and Cardholder identification numbers based on the patient’s individual MCO plan as is currently done for other covered medications. For a full listing of all the BIN/PCN/Group ID information, please go to the online provider manual, page 9:_http://www.mdrxprograms.com/ooep.html#C1

For Prescribers:

MCOs will work collaboratively with you and your patients during the soothing period to ensure that HIV medication regimens are appropriate and in line with drug coverage options on their respective formularies. When the soothing period ends, prior authorization may be required for certain medications.

If prescribers or pharmacies have any questions about this transmittal, please call the Pharmacy Access Hotline at 1-800-492-5231, option 3. If MCOs have questions, please contact Pam Williams at pam.williams@maryland.gov.