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Welcome to the Ohio Medicaid Pharmacy Program | ohpbm.dev

Drug Look Up Tool. Welcome to the Ohio Medicaid Pharmacy Program. ODM has implemented a Preferred Drug List (PDL) to ensure quality patient care while maintaining a financially responsible program. Additional PDL information is available under the Drug Coverage tab of this website. Or refer to the MyCare Ohio and MCP Pharmacy Reference Guide. If you have a question or need assistance regarding the Ohio Medicaid Pharmacy program, please visit our help page for more information.

http://pharmacy.medicaid.ohio.gov/

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Welcome to the Ohio Medicaid Pharmacy Program | ohpbm.dev | pharmacy.medicaid.ohio.gov Reviews
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Drug Look Up Tool. Welcome to the Ohio Medicaid Pharmacy Program. ODM has implemented a Preferred Drug List (PDL) to ensure quality patient care while maintaining a financially responsible program. Additional PDL information is available under the Drug Coverage tab of this website. Or refer to the MyCare Ohio and MCP Pharmacy Reference Guide. If you have a question or need assistance regarding the Ohio Medicaid Pharmacy program, please visit our help page for more information.
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Welcome to the Ohio Medicaid Pharmacy Program | ohpbm.dev | pharmacy.medicaid.ohio.gov Reviews

https://pharmacy.medicaid.ohio.gov

Drug Look Up Tool. Welcome to the Ohio Medicaid Pharmacy Program. ODM has implemented a Preferred Drug List (PDL) to ensure quality patient care while maintaining a financially responsible program. Additional PDL information is available under the Drug Coverage tab of this website. Or refer to the MyCare Ohio and MCP Pharmacy Reference Guide. If you have a question or need assistance regarding the Ohio Medicaid Pharmacy program, please visit our help page for more information.

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pharmacy.medicaid.ohio.gov pharmacy.medicaid.ohio.gov
1

Pharmacy & Therapeutics (P&T) Committee | ohpbm.dev

http://pharmacy.medicaid.ohio.gov/pharmacy-therapeutics-committee

Drug Look Up Tool. P&T Meeting Minute Archive. Pharmacy and Therapeutics (P&T) Committee. The P&T Committee is composed of ten members appointed by the Medicaid Director. The P&T Committee members meet four times per year-including an annual review of the entire PDL. Topics that may be discussed at meetings include:. New brand or generic drugs. PDL changes based on any local or national issues (including contract issues). Stakeholder feedback through a Public Comment session. Meeting Schedule and Minutes.

2

The Ohio Medicaid Help Page | ohpbm.dev

http://pharmacy.medicaid.ohio.gov/help

Drug Look Up Tool. The Ohio Medicaid Help Page. The Ohio Medicaid Fee-for-Service (FFS) Help Page will aid you in finding the information and assistance you may need regarding our program. In order that we may best assist you, please refer to the following:. Ohio Pharmacy Technical Services. Ohio Pharmacy Clinical Services. Call this number if. You are having difficulty processing a pharmacy claim. Call this number if. 24 hours a day, 7 days a week. Email: PBA OHHelpDesk@changehealthcare.com. 2016 Ohio D...

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Ohio Maximum Allowable Cost (MAC) | ohpbm.dev

http://pharmacy.medicaid.ohio.gov/mac-information

Drug Look Up Tool. Ohio Maximum Allowable Cost (MAC). Welcome to the web site for the Ohio Medicaid Fee-For-Service (FFS) MAC program. This site is dedicated to providing the most current MAC lists for Medicaid drug reimbursement. All past MAC updates are listed here chronologically. In addition, you will find helpful references to material from CMS and the Ohio Department of Medicaid. MAC List Effective 03-10-2017. MAC List Effective 03-10-2017. MAC List Effective 02-24-2017. MAC List Effective 9-23-2016.

4

News | ohpbm.dev

http://pharmacy.medicaid.ohio.gov/news

Drug Look Up Tool. The results of the 2016 Professional Dispensing Fee Survey. And information on the 2017 Pricing Methodology Changes. Following the P&T meeting, ODM accepted the recommendations of the committee regarding drug placement in preferred and non-preferred positions. The recommendations will be implemented January 1, 2017. The recommendations regarding clinical criteria are under review and will be discussed at a future meeting. DUR Board Meeting on November 15, 2016 has been cancelled.

5

Drug Coverage Information | ohpbm.dev

http://pharmacy.medicaid.ohio.gov/drug-coverage

Drug Look Up Tool. A list of medications available without a prior authorization is available here. In compliance with OAC 5160-9-12. The Preferred Drug List (PDL) ( DOWNLOAD CURRENT LIST. DOWNLOAD LIST EFFECTIVE 4/1/2017. Additional Therapeutic Classes with Clinical Criteria ( DOWNLOAD. Quantity Limits ( DOWNLOAD. Covered Active Pharmaceutical Ingredients and Excipients for Compounding ( DOWNLOAD. Drug Look Up Tool. 2016 Ohio Department of Medicaid.

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Trading Partners

http://medicaid.ohio.gov/PROVIDERS/Billing/TradingPartners.aspx

Quality Strategy and Measures. Older Adults / Individuals with Disabilities. Provider Exclusion and Suspension List. Federal Requirement for Revalidation/Re-Enrollment. Fee Schedule and Rates. HIPAA and EDI Information. How to Refund Overpayments. Answers for MITS Problems. Behavioral Health Integration Project. Medical Care Advisory Committee. Ohio Medicaid Administrative Study Council. Quality Strategy and Measures. Older Adults / Individuals with Disabilities. Provider Exclusion and Suspension List.

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Ohio Department of Medicaid - HIPAA 5010 Implementation

http://medicaid.ohio.gov/PROVIDERS/MITS/HIPAA5010Implementation.aspx

Quality Strategy and Measures. Older Adults / Individuals with Disabilities. Provider Exclusion and Suspension List. Federal Requirement for Revalidation/Re-Enrollment. Fee Schedule and Rates. HIPAA and EDI Information. How to Refund Overpayments. Answers for MITS Problems. Behavioral Health Integration Project. Medical Care Advisory Committee. Ohio Medicaid Administrative Study Council. Quality Strategy and Measures. Older Adults / Individuals with Disabilities. Provider Exclusion and Suspension List.

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University of Kentucky - College of Pharmacy

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Welcome to the Ohio Medicaid Pharmacy Program | ohpbm.dev

Drug Look Up Tool. Welcome to the Ohio Medicaid Pharmacy Program. ODM has implemented a Preferred Drug List (PDL) to ensure quality patient care while maintaining a financially responsible program. Additional PDL information is available under the Drug Coverage tab of this website. Or refer to the MyCare Ohio and MCP Pharmacy Reference Guide. If you have a question or need assistance regarding the Ohio Medicaid Pharmacy program, please visit our help page for more information.

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