Pharmacy Co-Payments Waiver

In an effort to improve beneficiary adherence to prescribed courses of medication, the South Carolina Department of Health and Human Services (SCDHHS) will waive the copayment for specified classes of medications effective July 1, 2015. Initially, this copayment waiver will apply to medications for the treatment of diabetes and behavioral health disorders. However, SCDHHS may modify the medications subject to the copayment waiver without further notice. Information regarding which medications are exempt from copayments will be made available on the SCDHHS Preferred Drug List (PDL). The PDL is available at http://southcarolina.fhsc.com.

This policy applies only to the S.C. Medicaid Fee-for-Service (FFS) benefit. For questions regarding pharmacy benefit copayments related to the Managed Care Organizations (MCOs) serving S.C. Medicaid members, please contact the MCO directly.

Questions regarding this bulletin should be directed to the Magellan Medicaid Administration's call center at (866) 254-1669. Thank you for your continued support of the South Carolina Healthy Connections Medicaid program.

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