Provider Notice Issued 05/20/2020

Date: May 20, 2020

To: All Participating Pharmacies

Re: Pharmacy – 90-Day Supply and Over-the-Counter Covered Products

This notice informs providers that medications in specified drug classes and certain over-the-counter (OTC) medications are temporarily covered, due to the COVID-19 public health emergency.

In a March 30, 2020 provider notice, the Department indicated it was reviewing potential additions to the 90-day supply list of maintenance medications. Medications in the following drug classes have been added and will be temporarily covered in a 90-day supply:

ADHD / Anti-Narcolepsy Agents: Misc

Analgesics - Anti-Inflammatory: Nonsteroidal Anti-Inflammatory Agents (NSAIDs)

Antianxiety Agents: Misc

Antiasthmatic and Bronchodilator Agents: Leukotriene Modulators

Anticonvulsants

Antidepressants: Misc

Antidepressants: Selective Serotonin Reuptake Inhibitor (SSRIs)

Antidepressants: Selective Serotonin-Norepinephrine Reuptake Inhibitor (SNRIs)

Antidiabetics: Combinations

Antidiabetics: Dipeptidyl Peptidase-4 (DPP-4) Inhibitors

Antidiabetics: Insulin

Antidiabetics: Misc

Antihyperlipidemics

Antiparkinson and Related Therapy Agents

Antipsychotics / Antimanic Agents: Benzisoxazoles

Antipsychotics / Antimanic Agents: Dibenzapines

Antipsychotics / Antimanic Agents: Misc

Antipsychotics / Antimanic Agents: Quinolinone Derivatives

Antivirals: Antiretrovirals (HIV)

Cardiovascular Agents - Antihypertensives: Ace Inhibitor Combinations

Cardiovascular Agents - Antihypertensives: Ace Inhibitors

Cardiovascular Agents - Antihypertensives: Angiotensin II Receptor Blocker Combinations

Cardiovascular Agents - Antihypertensives: Angiotensin II Receptor Blockers

Cardiovascular Agents - Antihypertensives: Antiadrenergics

Cardiovascular Agents - Antihypertensives: Beta-Blocker Combinations

Cardiovascular Agents - Antihypertensives: Beta-Blockers

Cardiovascular Agents - Antihypertensives: Calcium Channel Blockers

Cardiovascular Agents - Antihypertensives: Misc

Cardiovascular Agents - Cardiotonics: Cardiac Glycosides

Cardiovascular Agents: Antianginal Agents

Cardiovascular Agents: Antiarrhythmics

Cardiovascular Agents: Diuretics

Cardiovascular Agents: Misc

Endocrine and Metabolic Agents: Bone Density Regulators

Endocrine and Metabolic Agents: Misc

Genitourinary Agents: Prostatic Hypertrophy Agents

Gout Agents

Psychotherapeutic and Neurological Agents: Antidementia Agents

Thyroid Agents

Urinary Antispasmodics

Additionally, the following OTC products are temporarily available for all age groups:

Acetaminophen

Dextromethorphan HBr

Dextromethorphan-Guaifenesin

Guaifenesin

Ibuprofen

Naproxen

Coverage is limited to drugs made by manufacturers who participate in the federal Medicaid Drug Rebate Program. Additional detail about specific medications temporarily covered in a 90-day supply is contained in the document, “Drugs Covered in 90-Day Supplies During COVID-19 Emergency”, on the Department’s COVID-19 Webpage.

Questions regarding this notice may be directed to a pharmacy consultant at 877-782-5565.

Kelly Cunningham

Interim Medicaid Administrator

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Provider Notice Issued 05/20/2020

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