December 12, 2005

 

 

 

 

TO:                 Prescribing Providers, Pharmacists, Pharmacies, Hospitals, and Long-Term Care Facilities

 

FROM:           Leslie M. Clement, Deputy Administrator

 

 

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.

 

 

 

LMC/to/sw