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MEDICAID INFORMATION RELEASE 2006-19

posted on March 02, 2009 12:18

June 19, 2006

MEDICAID INFORMATION RELEASE 2006-19

TO: Prescribing Providers, Pharmacists, and Pharmacies

FROM: Leslie M. Clement, Administrator

SUBJECT: Preferred Agents for Drug Classes Reviewed at May 19, 2006 Pharmacy and Therapeutics Committee Meeting

Drug/Drug Classes:	Noted below
Implementation Date:	Effective for dates of service on or after July 1, 2006

Idaho Medicaid is designating preferred agents and prior authorization criteria for the following drug classes as part of the Enhanced Prior Authorization Program. The information is included in the attached Preferred Drug List.

Drug Classes Reviewed at May 19, 2006 P&T Meeting
ACE Inhibitors/Calcium Channel Blockers Angiotensin-2 Receptor Antagonists Anticonvulsants Benign Prostatic Hyperplasia (BPH) Treatments Bladder Relaxant Preparations Cephalosporins and Related Antibiotics Cytokine and CAM Antagonists Erythropoiesis Stimulating Proteins Growth Hormones Hepatitis C Agents	Injectable Anticoagulants Lipotropics Meglitinides Multiple Sclerosis Agents Narcotic Analgesics, Long-Acting and Short-Acting Otic Antibiotics Phosphate Binders Proton Pump Inhibitors Sedative Hypnotics Thiazolidinediones (TZDs)

Questions regarding the Prior Authorization program may be referred to Medicaid Pharmacy at (208) 364-1829.A current listing of all the preferred agents by drug class and prior authorization criteria is also available online at www.medicaidpharmacy.idaho.gov.

IDAHO MEDICAID PROVIDER HANDBOOK

This Information Release does not replace information in your Idaho Medicaid Handbook.

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