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Provider Documents - Arkansas

Provider Documents (316)
Forms (17)
Announcements and Alerts (3)

Category Facet

Pharmacy (128)
Additional Prescription Drug Info (125)
Prescription Drug Info (62)
e-Prescribing Project Overview (8)

Type Facet

Document (336)
Page (9)

memorandums (102)
drug utilization review board (36)
drug review committee (drc) - archive only (32)
pdl provider notifications (31)
exclusions from coverage (22)
capped upper limits messages (14)
prescription drug prior authorization (pa) forms (13)
generic upper limits messages (10)
armedicaid insider (9)
e-prescribing (8)
newsletters (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)
opioid information (2)
pdl manufacturer information (2)
prescription drug clinical edits (2)
state supported brand medications (2)
training documentation (2)
arkansas medicaid reimbursement methodology and nadac (1)
cough and cold list (1)
covered labelers (1)
emergency override (1)
medicare part d excluded—allowed by arkansas medicaid (1)
ncpdp payer sheet (1)
over-the-counter list (1)
reconsiderations and appeals (1)
voice response system brochure (1)

345 Results for

Hepatitis C Virus (HCV) Medication Therapy Request

Apr 21, 2023 11:32 PM

Prior Authorization form

prescription drug prior authorization (pa) forms Provider Documents: Prescription Drug Info
Statement of Medical Necessity - Adult C-II Stimulant

Apr 21, 2023 11:32 PM

Prior Authorization form

prescription drug prior authorization (pa) forms Provider Documents: Prescription Drug Info
Statement of Medical Necessity - Invega Trinza

Apr 21, 2023 11:32 PM

Prior Authorization form

prescription drug prior authorization (pa) forms Provider Documents: Prescription Drug Info
Statement of Medical Necessity - Sublocade and Probuphine

Apr 21, 2023 11:32 PM

Prior Authorization form

prescription drug prior authorization (pa) forms Provider Documents: Prescription Drug Info
Arkansas Medicaid Prior Authorization Request Form - H.P. Acthar

Apr 21, 2023 11:32 PM

Prior Authorization form

prescription drug prior authorization (pa) forms Provider Documents: Prescription Drug Info
Arkansas Medicaid Prior Authorization Request Form

Apr 21, 2023 11:32 PM

Prior Authorization form

prescription drug prior authorization (pa) forms Provider Documents: Prescription Drug Info
Statement of Medical Necessity - Vivitrol IM

Apr 21, 2023 11:32 PM

Prior Authorization form

prescription drug prior authorization (pa) forms Provider Documents: Prescription Drug Info
Statement of Medical Necessity - Ingrezza and Austedo

Apr 21, 2023 11:32 PM

Prior Authorization form

prescription drug prior authorization (pa) forms Provider Documents: Prescription Drug Info
Tobacco Cessation Clinical Practice Guide

Apr 21, 2023 11:35 PM

Tobacco Cessation Clinical Practice Guide

tobacco cessation programs Provider Documents: Prescription Drug Info
Coverage of Tobacco Cessation Products through the Arkansas Medicaid Prescription Drug Program

Apr 21, 2023 11:38 PM

Coverage of Tobacco Cessation Products through the Arkansas Medicaid Prescription Drug Program

tobacco cessation programs Provider Documents: Prescription Drug Info
Statement of Medical Necessity - Selzentry

Apr 21, 2023 11:32 PM

Prior Authorization form

prescription drug prior authorization (pa) forms Provider Documents: Prescription Drug Info
Statement of Medical Necessity - Xolair

Apr 21, 2023 11:32 PM

Prior Authorization form

prescription drug prior authorization (pa) forms Provider Documents: Prescription Drug Info
Tobacco Cessation Memorandum

Apr 21, 2023 11:41 PM

Tobacco Cessation Memorandum

memorandums tobacco cessation programs Provider Documents: Prescription Drug Info
Provider Manual Update Transmittal # 100

Apr 21, 2023 11:42 PM

Provider Manual Update Transmittal # 100

tobacco cessation programs Provider Documents: Prescription Drug Info
Psychotropic Safety Monitor Flowsheet

Apr 21, 2023 11:32 PM

Prior Authorization form

prescription drug prior authorization (pa) forms Provider Documents: Prescription Drug Info
Tobacco Cessation Guidelines

Apr 21, 2023 11:39 PM

Tobacco Cessation Guidelines

tobacco cessation programs Provider Documents: Prescription Drug Info
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
application.pdf

Apr 19, 2023 6:59 PM

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

Apr 19, 2023 6:59 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

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