Pharmacy
On this page
News and updates
- Payer Specification Sheet pre-release for June 8, 2024
- Pharmacy POS Replacement Project
- Professional dispensing fee allowance for pharmacies FAQ
- Synagis 2023/2024 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
- NCPDP D.O. 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: 866-668-1214.