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Pharmaceutical Services program updates by e-mail
July 1, 2009 (pdf) (Current administrative rules; see below for archived rules) 7/2/09: correction - reinserted rules 410-121-0032 and 410-121-0033.
Pharmaceutical Services Supplemental Information (pdf) - Updated 7/23/09 - Eligibility and coverage information; billing guidelines for professional and pharmaceutical services, including Medication Therapy Management (MTM); Point of Sale, ProDUR and prior authorization information; contact information; related forms and resources.
Oregon Maximum Allowable Cost (OMAC) List (pdf) - Effective 8/7/09. This list does not exclude other non-covered benefit package items, such as Long Term Care or Medicare D.
Federal Upper Limits (pdf) - Updated 6/13/09. For more information, see OAR 410-121-0300. For the latest information about Federal Upper Limit (FUL) pricing, go to the CMS Federal Upper Limits Web page.
Weekly 7/11 carve-out list (Excel) (PDF)
Nursing Home list (pdf) - Updated 3/1/08. This list includes drugs not reimbursed by DMAP because they are included in the bundled rate for long-term care nursing facilities.
DESI List (link) - Current Less-Than-Effective Drug list is on the CMS site.
Tamper-resistant prescription pad information (link) - Updated 8/26/08 - This page provides links to information about TRPP pad requirements, vendor lists, CMS guidance and past TRPP announcements from DMAP.
Medicare Modernization Act (MMA) Web site (link) - For information about Medicare Part D.
back to top Oregon DUR Newsletter (link) - By OSU College of Pharmacy on behalf of the Oregon Drug Use Review Board.
Plan Drug List (pdf) - Updated 7/1/09 - For Oregon's Practitioner-Managed Prescription Drug Program. Also see the Plan Drug List overview (link).
Epocrates (link) - Download Epocrates Rx to your handheld computer or use the Web-based Epocrates Online to view the Plan Drug List ("Oregon Medicaid - open card") and formulary lists for other payers, including OHP managed care plans.
Oregon Pharmacy and Oral Nutritional Supplement PA Request (pdf) - Updated 7/23/09 - When requesting prior authorization for drugs or oral nutritional supplements dispensed to OHP clients on a fee-for-service basis, fax this form to the Oregon Pharmacy Call Center at 888-346-0178.
Summary of new PA requirements effective July 1, 2009 (pdf) - New! - Affects long-acting opioids, Daytrana, and selected laxatives. Also see the recent letter to clients with current prescriptions for long-acting opioids (pdf).
back to top Frequently-asked questions about drug pricing and reimbursement (link)
Information about Supplemental Rebate Agreements (link) - Includes links to Plan Drug List and Health Resources Commission (Drug-Class Review Process) information.
OHP enrollment reports (link) - Includes First of Month reports for FCHPs, DCOs and MHOs by county or eligibility category.
CMS Medicaid Rebate List Updates (pdf) - These are the State Medicaid Director releases from CMS about updates to the master pharmaceutical manufacturers' rebate list for the Medicaid Drug Rebate Program. This information is now available on the CMS site. DMAP no longer produces a corresponding full rebate list.
| CMS Release No. 150 | October 24, 2008 |
| CMS Release No. 149 | May 6, 2008 |
| CMS Release No. 148 | January 28, 2008 |
| CMS Release No. 147 | August 15, 2007 |
| CMS Release No. 146 | June 26, 2007 |
| CMS Release No. 145 | March 7, 2007 |
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