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December 12, 2005
 
 
 
MEDICAID INFORMATION RELEASE MA06-01
 
TO:                 Prescribing Providers, Pharmacists, Pharmacies, Hospitals, and Long-Term Care Facilities
 
FROM:           Leslie M. Clement, Deputy Administrator
 
SUBJECT:     72 HOUR EMERGENCY FILL FOR PRESCRIPTION MEDICATIONS
 
Medicaid will pay for point-of-sale (POS) pharmacy claims for a 72-hour emergency supply of medications requiring Prior Authorization (PA) if the pharmacist in their professional judgment believes a Medicaid eligible participant has an immediate need.  During normal business hours the standard PA process should be used.
The emergency fill override process is intended to ensure that clients receive their medications regardless of holidays, weekends or other instances in which the pharmacy call center cannot be reached to obtain a valid PA.
 
Questions regarding the Prior Authorization program may be referred to the Medicaid Pharmacy Unit at (208) 364-1829.
 
 
 
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