Three-Month Maintenance Supply Updates


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TO: Pharmacies, Physicians, Physician Assistants, Nurse Practitioners, Oral Surgeons, Optometrists, Dentists, FQHCs, RHCs, Mental Health Service Providers and Nursing Homes


Effective July 1, 2020 the Alabama Medicaid Agency will:


1.   Allow certain medications within the Three-Month Maintenance Supply program to be dispensed with a day’s supply in a range from 80 days up to 90 days depending on the dosage of the medication prescribed. All existing policies regarding the maintenance supply program will remain in effect. Medications that will be included in this update are listed below.


·  Insulins


2.    Include dornase alfa (Pulmozyme), all oral formulations of

     mycophenolate, all oral formulations of tacrolimus, and all oral

     formulations of ursodiol in the mandatory three-month supply

     program. Prescriptions for three-month maintenance supply medications will

     not count toward the monthly prescription limit. A maintenance supply

     prescription will be required after 60 days’ stable therapy. Please see the

     website for a complete listing of maintenance supply medications.


Policy questions concerning this provider notice should be directed to the Pharmacy Program at(334) 242-5050. Questions regarding PA procedures should be directed to the HID help desk at1-800-748-0130.


The Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes descriptors, and other data are copyright © 2017 American Medical Association and © 2017 American Dental Association (or such other date publication of CPT and CDT). All rights reserved. Applicable FARS/DFARS apply.