*IMPORTANT*
Effective 03/15/2013: There are 4 new prior authorization (PA) forms in place for Hepatitis C Protease Inhibitors. Each drug, Telaprevir (Incivek®) and Boceprevir (Victrelis®), now have separate initial and renewal forms. The original PA forms are no longer accepted.
For more information please click on Updates
Effective 01/01/2013: DC Medicaid will no longer cover Benzodiazepines and Barbiturates medications for District of Columbia Fee for Service. Please bill the recipient’s appropriate Medicare Part D provider.
All District of Columbia Fee for Service recipients that are actively enrolled in a Managed Care Organization must now receive their antiretroviral medications from a pharmacy enrolled in the AIDS Drug Administration Program (ADAP).
For more information please click on Updates
Effective 09/01/2012: Medicaid Fee-for-Service recipients receiving HIV medications are restricted to the DC AIDS Drugs Assistance Program (DC ADAP) Network. Please refer to the list of DC ADAP pharmacy providers under Participating Providers.
For further questions or information, providers can contact the Xerox PBM Pharmacy Call Center at 1-800-273-4962
Welcome
Welcome to the Pharmacy Services website of the District of Columbia Medicaid Program, provided by Xerox on behalf of the Department of Health Care Finance.
This site provides important information to health care providers about the DC Pharmacy Fee for Service Program. This site contains a wealth of resources for providers and general public including provider manuals, policies and forms, clinical newsletters, carrier codes and participating pharmacies.
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