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2023/06/02

New Provider Updates

New Pharmacy Provider Hot Tips have been posted to MO HealthNet

June 02, 2023

MO HealthNet Provider Updates

 

Hot Tips

Pharmacy Provider Alert: List of Manufacturers Newly Excluded from Coverage (Effective 7/1/2023)

June 02, 2023

Pharmacy Provider Alert:List of Manufacturers Newly Excluded from Coverage (Effective 7-1-2023)

Effective July 1, 2023, the Medicaid Drug Rebate Program (MDRP) will no longer include the manufacturers below that have been previously covered. As a result, MO HealthNet will no longer be able to pay claims for these manufacturers for dates of service on and after July 1, 2023, which could affect a significant portion of pharmacy provider claims. It is crucial to be aware of this upcoming modification and prepare in advance by ordering a different manufacturer for MO HealthNet claims processing. MO HealthNet cannot provide overrides for these manufacturers while the manufacturer is excluded from the MDRP.

 

Labeler Code

(First 5 digits of NDC)

Labeler Name

68180

LUPIN PHARMACEUTICALS, INC.

43386

LUPIN PHARMACEUTICALS, INC.

27437

LUPIN PHARMACEUTICALS, INC.

50383

Akorn Operating Company LLC

17478

Akorn Operating Company LLC

61748

Akorn Operating Company LLC

49411

Akorn Operating Company LLC

76478

Akorn Operating Company LLC

63868

CHAIN DRUG MARKETING ASSOCIATION, INC.

67405

HARRIS PHARMACEUTICAL, INC.

 

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