Pharmacy
On this page
News and updates
- New billing information for Apple Health fee-for service (FFS)
- New BIN: 024822
- New PCN: DRWAPROD
- New Group: CAID
- Payer Specification Sheet
- Emergency Fill Policy
- Professional dispensing fee allowance for pharmacies FAQ
- Synagis 2024/2025 season
Health advisories
Unintentional overdose deaths are associated with methadone and other opioids. The Pharmacy and Therapeutics Committee (P&T) has asked the Health Care Authority (HCA) to distribute a special health advisory to pharmacists and prescribers.
Practitioners
- Agency Medical Director’s Group (AMDG) opioid prescribing guidelines/dose calculator
- Apple Health (Medicaid) Drug Coverage Criteria
- Over the counter contraception for Apple Health clients FAQ - prescribers
Pharmacies
- Request a pharmacy prior authorization
- Emergency fill policy
- Payer specification sheet
- Participating drug rebate manufacturers
- Critical Access Pharmacy List
- Over the counter contraception for Apple Health clients FAQ - pharmacies
- Apple Health Prescription Monitoring Program check for outpatient prescriptions - FAQ (updated September 16, 2021)
To request a change in fee-for-service (FFS) reimbursement
Download the Pharmacy Information Authorization form (13-835A). Fax the request to: 1-833-991-0704.