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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                    
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                         
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                                                                     
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:
Dextromethorphan HBr
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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