dronabinol and medicaid




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dronabinol and medicaid

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Oregon Medicaid PA Criteria, May 2016 – State of Oregon

www.oregon.gov

May 1, 2016 … Oregon Medicaid Pharmaceutical Services. Prior Authorization Criteria. HEALTH
SYSTEMS DIVISION. Prior authorization (PA) criteria for …

Oregon Medicaid PA Criteria, August 2014 – State of Oregon

www.oregon.gov

Aug 13, 2014 … Oregon Medicaid Pharmaceutical Services. Prior Authorization Criteria. DIVISION
OF MEDICAL ASSISTANCE PROGRAMS. Prior authorization …

Marinol® (dronabinol) – Nevada Medicaid

www.medicaid.nv.gov

Purpose: For a prescribing physician to request prior authorization for Marinol® (
dronabinol). Questions: If you have questions, call the OptumRx Call Center for …

MassHealth's Administration of Certain Medicaid and … – Mass.Gov

www.mass.gov

Mar 1, 2016 … waste, and abuse relating to prescription drugs in both the Medicaid and HSN
programs. Using data analytics is an ….. DRONABINOL. 555.

Maryland Medicaid Pharmacy Program Quantity Limits

mmcp.dhmh.maryland.gov

Maryland Medicaid Pharmacy Program. Quantity Limits. Maryland Medicaid limits
the coverage of quantities for certain drugs. …. Marinol capsules (all strengths).

Marinol criteria Version 1 Last updated 3/15/2013 Approved 3/15 …

dhss.alaska.gov

Mar 15, 2013 … Alaska Medicaid. MARINOL®(DRONABINOL). Available 2.5mg, 5mg and 10mg
capsules, Schedule III controlled substance. INDICATIONS and …

Illinois Medicaid Program – Illinois.gov

www.illinois.gov

Illinois Medicaid. January 1, 2016. Changes are highlighted in blue … Illinois
Medicaid. January 1, 2016. Changes are … dronabinol granisetron. Metozolv
ODT.

MEMO Special – Virginia Medicaid Pharmacy Services

www.virginiamedicaid.dmas.virginia.gov

Jan 1, 2015 … SUBJECT: Virginia Medicaid Preferred Drug List (PDL) Program … Marinol. ®.
Antifungals (oral) griseofulvin ultramicrosize. Gris-Peg. ®.

Idaho Medicaid Preferred Drug List with Prior Authorization Criteria

healthandwelfare.idaho.gov

Jan 1, 2017 … Idaho Medicaid Preferred Drug List with Prior Authorization Criteria ……
Dronabinol will be approved for patients who have received.

2015-27 – ForwardHealth Portal

www.forwardhealth.wi.gov

covered drugs on the PDL for BadgerCare Plus, Medicaid, and SeniorCare …..
Clinical criteria for approval of a PA request for dronabinol for the treatment of …

March 21, 2013 Meeting Summary – New York State Department of …

www.health.ny.gov

Mar 21, 2013 … ADURS is a national, non-profit organization of Medicaid drug utilization ….
Dronabinol. Dr. Hong presented the dronabinol utilization review.

PDL-Preferred Drug List

www.kdheks.gov

Jun 1, 2017 … Preferred. Non-Preferred, Prior Authorization Required. Marinol® (dronabinol).
Cesamet® (nabilone). Anti-emetics Serotonin 5HT3 Antagonists.

Amendment to Contract Between United States … – CMS.gov

www.cms.gov

May 4, 2017 … acting by and through the Centers for Medicare & Medicaid Services (CMS), …. (
dronabinol, megestrol, oxandrolone, somatropin, methadone, …

notice of proposed policy – State of Michigan

www.michigan.gov

Dec 1, 2015 … Policy Subject: Medicaid Health Plan Common Formulary. Affected … State of
Michigan MCO Common Medicaid Formulary …. dronabinol*.

Montana Medicaid – Fee Schedule Mid-Level Services January 1 …

medicaidprovider.mt.gov

Jan 1, 2016 … RBRVS: Based on Medicare Relative Value Units (RVU's) x Montana Medicaid
conversion factor x policy adjuster. Conversion factor for fiscal …

WEST VIRGINIA LEGISLATURE Senate Bill 454

www.wvlegislature.gov

Feb 28, 2016 … performance requirements; allowing enrollment as a Medicaid provider; ….. delta-
9-tetrahydrocannabinol or dronabinol or other similar. 140.

AHCCCS American Indian Health Plan Acute and Long Term Care …

www.azahcccs.gov

Drugs from manufacturers that do not participate in the FFS Medicaid Drug
Rebate Program. • Diagnostic products …… DRONABINOL CAPSULES.
MARINOL.

Practitioner Provider Specific Policy Revision Table – Delaware …

medicaidpublications.dhss.delaware.gov

Medicaid may limit the quantity and duration of medications based on clinical ….
Replaced prior authorization form for Dronabinol with a prior authorization form …

The HIV/AIDS Program is administered by the North Dakota …

www.ndhealth.gov

Marinol. ◇ Epogen, EPO, Procrit. ◇ Neupogen, G-CSF. Non-nucleoside
Reverse … If a person does not have insurance (private, Medicaid or Medicare
Part D), …

Performance Drug List – Caremark

www.osc.ct.gov

THYROID SUPPLEMENTS levothyroxine. SYNTHROID. GASTROINTESTINAL. §
ANTIEMETICS dronabinol granisetron meclizine metoclopramide ondansetron.