News

Four (4) Brand-Name Limit

7/19/2012

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

Effective for drugs dispensed on or after August 1, 2012, the Alabama Medicaid Agency will reinstate the four (4) brand-name drug limit per month.

The one brand-name drug limit will remain in effect for June 1, 2012 through July 31, 2012.

 

Allowances will remain for up to 10 brands per month for antipsychotics, antiretrovirals, and switchovers.

 

Children (recipients under 21) and nursing facility recipients are excluded from the four brand-name limit.

 

Generics and covered over the counters remain unlimited. 

Policy questions concerning this ALERT should be directed to the Pharmacy Program at (334) 242-5050.