Latest Pharmacy News and Notices
The latest pharmacy provider billing updates and news notices will be posted here. Please check daily for updates.
DOM RSV Season Ending March 31, 2024
In consultation with pediatric providers throughout the state and based on a review of CDC RSV surveillance data from neighboring states, Mississippi Medicaid coverage of palivizumab (Synagis) for the 2023-24 RSV season will end on March 31, 2024. As in recent years, prior authorization requests may be considered if epidemic prevalence occurs outside of the traditional fall-to-spring RSV season.
Inhaled Glucocorticoid and Glucocorticoid/Bronchodilator Combinations
Effective March 11, 2024, the Division of Medicaid has removed minimum age restrictions from inhaled glucocorticoid and glucocorticoid/bronchodilator combinations. In addition, fluticasone HFA (generic of recently discontinued Flovent HFA) is now designated as preferred on the Preferred Drug List (PDL).
Non-preferred products are subject to prior authorization criteria as described on the PDL, which can be viewed at https://medicaid.ms.gov/preferred-drug-list/.
New Medication Management Component of Elderly & Disabled (E&D) Waiver
Exciting Opportunity for MS Medicaid Pharmacy Providers: New Medication Management Component of Elderly & Disabled (E&D) Waiver, effective 2-1-2024. Pharmacists who are interested in participating must watch the video found here and submit an email to dompharmacyoffice@medicaid.ms.gov as follows:
Email subject: “E&D Waiver medication management”
Email body: Pharmacy Name, Address and County , Pharmacist Contact Name, Phone Number, Fax Number, Medicaid ID #, NPI#
PRN Updates for Pharmacy Providers – Updated Nov. 15, 2022
Medicaid allows the generic mandate requirement to be overridden for brand name narrow therapeutic index (NTI) drugs to include Coumadin, Dilantin, Lanoxin, Synthroid, and Tegretol … Read more.
Attention Pharmacy Providers! New Fiscal Agent effective October 1, 2022
The new fee-for-service (FFS) pharmacy processing information is as follows:
BIN #: 025151 PCN: DRMSPROD
Pharmacy Claims and Prior Authorization Call Center number: 1-833-660-2402
Pharmacy Prior Authorization fax number: 1-866-644-6147
Pharmacy
Claims and Prior Authorization – Gainwell Technologies
Please contact our fiscal agent, Gainwell Technologies, for questions or problems relating to any Pharmacy Prior Authorization or POS claims issues.
| Toll-free: | 1-833-660-2402 |
| Pharmacy PA Fax: | 1-866-644-6147 |
| Provider/Member Call Center: | 1-800-884-3222 |
| Provider Fax: | 1-866-644-6148 |
Mississippi Medicaid Prescribers – registered users
If you are a Mississippi Medicaid prescriber, submit your prior authorization requests through the Gainwell Technologies provider portal.
Medicaid Office of Pharmacy Contact Information
| Phone: | 601-359-5253, #4 |
| Fax: | 601-359-9555 |
