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Provider Documents Test2 - Arkansas

Provider Documents (331)
Forms (15)
Announcements and Alerts (3)

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Pharmacy (130)
Additional Prescription Drug Info (128)
Prescription Drug Info (56)
e-Prescribing Project Overview (7)

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Document (361)
Page (5)

memorandums (103)
drug utilization review board (39)
drug review committee (drc) - archive only (32)
pdl provider notifications (31)
exclusions from coverage (22)
capped upper limits messages (13)
prescription drug prior authorization (pa) forms (12)
generic upper limits messages (10)
armedicaid insider (9)
newsletters (8)
e-prescribing (7)
pharmacy administered vaccines (7)
tobacco cessation programs (6)
prescription drug claim edits (5)
evidence-based prescription drug program (pdl) (4)
additional pdl information (3)
antipsychotics for beneficiaries less than 18 years of age (2)
extension of benefit (2)
medwatch forms and information (2)
pdl manufacturer information (2)
prescription drug clinical edits (2)
training documentation (2)
arkansas medicaid reimbursement methodology and nadac (1)
cough and cold list (1)
covered labelers (1)
medicare part d excluded—allowed by arkansas medicaid (1)
ncpdp payer sheet (1)
opioid information (1)
over-the-counter list (1)
state supported brand medications (1)
voice response system brochure (1)

366 Results for

Magellan Pharmacy Claim Inquiry Form

Apr 12, 2023 8:47 PM
Certified Behavioral Health Agencies (BHA)

Apr 12, 2023 8:47 PM
Medication Informed Consent Document for Behavioral or Psychiatric Conditions - Clients under 18 years of age

Apr 12, 2023 8:47 PM
NADAC Request for Medicaid Reimbursement Review Form

Apr 12, 2023 8:47 PM
PA Request Form (General Request)

Apr 12, 2023 8:47 PM
H.P. Acthar gel (corticotropin injection) Prior Authorization (PA) Request Form

Apr 12, 2023 8:47 PM
Arkansas Medicaid Price Research Request Form

Apr 12, 2023 8:47 PM
Adult Use of a C-II Stimulant Statement of Medical Necessity

Apr 12, 2023 8:47 PM

updated on 8/8
Ingrezza or Austedo Statement of Medical Necessity

Apr 12, 2023 8:47 PM
MedWatch Patient Information Request Form

Apr 12, 2023 8:47 PM
Selzentry (Maraviroc) Statement of Medical Necessity

Apr 12, 2023 8:47 PM

updated on 8/18/23
Arkansas Medicaid State Supplemental Rebate Contract Template

Apr 12, 2023 8:47 PM
Xolair (Omalizumab) Statement of Medical Necessity

Apr 12, 2023 8:47 PM
Arkansas Medicaid e-Prescribing Project Overview

Apr 19, 2023 6:48 PM

e-prescribing Provider Documents: e-Prescribing Project Overview
application.docx

Apr 19, 2023 6:59 PM

e-prescribing Provider Documents: e-Prescribing Project Overview
application.pdf

Apr 19, 2023 6:59 PM

e-prescribing Provider Documents: e-Prescribing Project Overview
DMS-08-A-9.docx

Apr 19, 2023 6:59 PM

Medicaid Tamper Resistant Requirement Guidance from the Centers for Medicare and Medicaid (CMS) and the National Council for Prescription Drug Programs (NCPDP)

e-prescribing Provider Documents: e-Prescribing Project Overview
EprescribQAs.doc

Apr 19, 2023 6:59 PM

e-prescribing Provider Documents: e-Prescribing Project Overview
EprescribQAs.pdf

Apr 19, 2023 6:59 PM

e-prescribing Provider Documents: e-Prescribing Project Overview
ARMedicaid_Insider_v1i1.pdf

Apr 19, 2023 8:30 PM

armedicaid insider Provider Documents: Pharmacy

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