Oregon Medicaid PDL

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Oregon Medicaid PDL

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Oregon Medicaid Preferred Drug List – January 1, 2017 – Oregon.gov


Preferred. Effective: January 1, 2017. Table 121-0030-1 Oregon Fee-for-Service
Enforceable Physical Health Preferred Drug List. Non-Steroidal Anti-.
Inflammatory Drugs. Analgesics. DICLOFENAC POTASSIUM. TABLET.

Oregon Medicaid PA Criteria, July 1, 2017.pdf – Oregon.gov


Oregon Medicaid Pharmaceutical Services. Prior Authorization Criteria. HEALTH
SYSTEMS DIVISION. Prior authorization (PA) criteria for fee-for-service
prescriptions for Oregon Health Plan clients. July 1, 2017 …

DMAP Pharmaceutical Services Administrative Rulebook – Oregon.gov


Oct 1, 2016 Medicaid and Medicare Services (CMS), and evaluated using an evidence-
based review process by the Pharmacy & Therapeutics Committee (P&T) . If
pharmaceutical manufacturers enter into supplemental rebate agreements with
the SSDC, the Authority may include that drug on the PDL. (6) Acceptance …

Page 1 Authorization Page Generated on June 26, 2017 10:13AM …


Jun 29, 2017 amend rules as follows: The Authority is amending this rule to update the Oregon.
Medicaid Fee for Service Prior Authorization Criteria Guide found at. Page 1|
Secretary of State. Page 2. http://WWW. Oregon. gov/oha/healthplan/Pages/
pharmacy-policy. aspx based on the P&T. (Pharmacy and Therapeutic) …

Oregon Medicaid Pharmacy Program Information – Oregon.gov


the Medicaid Utilization Information for the Covered Product is reported to the
manufacturer. 3. DMAP Obligations. A. Plan Drug List. To be eligible for the
Supplemental Rebates specified in. Attachment A: (1). DMAP shall place, and for
the duration of the Agreement maintain,. Covered Product(s) on the PMPDP Plan
Drug …

410-121-0040 – Oregon.gov


Jun 1, 2017 payments for services provided to certain clients. The Authority needs to amend
this rule to update the Oregon Medicaid Fee-for-. Service Prior Authorization
Criteria Guide found at http://www.oregon.gov/oha/healthplan/PageS/pharmacy-
policy.aspx based on the P&T (Pharmacy and Therapeutic) …

State Strategies to Contain Medicaid Drug Costs … – OIG .HHS .gov


o Prior Authorization. A State may require providers to obtain prior authorization
from the Medicaid agency before dispensing a particular drug or class of drugs.
However,. Medicaid agencies ….. Oregon saved $1million/month from March to
November, 2002; we used this rate to calculate annual savings. # Wyoming
saved …

Medicaid Spending for Prescription Drugs – macpac


Jan 1, 2016 2016).1 Moreover, the CMS estimates were even higher for Medicaid—the
increase in Medicaid prescription … preferred drug lists (PDLs), prior
authorization, or quantity limits. ….. 2 In accordance with §2501(c) of the ACA, five
states—Florida, Kansas, New Hampshire, Oregon, and Texas—are expanding.

Preferred Drug List Criteria Proposal


Nov 1, 2017 Hepatitis C (HCV) infection has been recently been referred to as a. “Silent
Epidemic” because it usually progresses slowly over many years. Many people
who are infected are not aware of any noticeable symptoms for as long as 10 to
20 years after they are infected. Often by the time symptoms appear, the …

Single Formulary and Electronic Prior Authorization – Department of …


Feb 13, 2012 and granting prior authorization for prescription drugs, and report their findings to
the senate committee …. in October 2011, Ohio began to align the Medicaid
Preferred Drug List (PDL) with seven other managed ….. Oregon. Administrative
Simplification Executive Committee of the Oregon Health Leadership.

DUR – Mississippi Division of Medicaid – MS.GOV


Aug 6, 2015 November 5, 2015. Mississippi Division of Medicaid DUR Board Packet – August
2015 – Page 1 … http://www.medicaid.ms.gov/providers/pharmacy/preferred-drug-
list/. Mississippi Division of …… York, Oregon, Rhode Island, South Carolina,
Tennessee, Texas, West Virginia and. Wyoming no longer list …

R-10 Drug Cost Containment Initiatives – Colorado.gov


Nov 1, 2017 drugs on the Preferred Drug List (PDL), and the Drug Utilization Review (DUR)
Board to determine prior. 7 Please refer to footnote 3 for citation. 8 Oregon Health
& Science University: Center for Evidence-based Policy (2016). State Medicaid
Alternative Reimbursement and. Purchasing Test for High-cost …

Assessment of Medicaid Reform Options – Alaska Legislative Budget …


Mar 24, 2016 opportunities to reduce pharmacy costs through more rapid Preferred Drug List (
PDL) adjustments and … 1 Evans et al. “Assessment of Medicaid Expansion and
Reform: Initial Analysis,” The Menges Group, January 16, ….. Medicaid ACO
initiatives in Arkansas, Colorado, Minnesota, Oregon, and Vermont.

DHHS Expanded – Nevada Department of Health and Human Services


Dec 3, 2014 1,666,645. 59%. Medicaid. 586,225. 21%. Medicare or Military. Only. 203,468. 7
%. Silver State Health. Insurance Exchange. 36,827. 1%. Uninsured. 331,657. 12
% ….. Medicaid Preferred Drug List (PDL): Elimination of the …. Ellen conducted
economic and policy analysis for the State of Oregon as a Tax.

TennCare Prescription Drug Costs – Tennessee Comptroller of the …


Dec 5, 2002 The TennCare pharmacy carve-out lacks prior authorization procedures to
control the use of more … companies and state Medicaid programs use prior
authorization requirements to steer recipients to …… and Florida, Illinois,
Louisiana, Minnesota, New Mexico, North Carolina, Oregon, Vermont, and West

Exhibit 1 – Department of Justice


Oct 31, 2013 $17.51 a share in 2002 based primarily on issues surrounding Medicaid
reimbursement and Prospective. Payment in nursing homes serviced. ….. The
company acquired Dynatran Computer Systems, a Portland, Oregon, based
software developer, in late 1995. This system provides assessment systems to …

City Managed Care Plan (POS) Handbook – City of Eugene


Jun 1, 2016 Plans and dental coverage administered by Delta Dental of Oregon. … under
PERS (Public Employees Retirement System), OPSRP (Oregon Public Service
Retirement Plan) or under any … The Preferred Drug List (PDL) is available on
the PacificSource website at www.pacificsource.com\\pdl. 8. How do I …

March 19, 2013 – Georgia Department of Community Health


Mar 19, 2013 Utilization trends for Georgia Medicaid Fee-for-Service were provided in detail in
the Utilization … Jeff Graham, Executive Director, Georgia Equality – preferred
drug list for antiretrovirals …… In a drug class review conducted by Oregon Health
and Science University, researchers concluded that etanercept.