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South Carolina Medicaid Preferred Drug List

 

The following revisions to the Preferred Drug List (PDL) are effective with dates of service on or after October 15, 2012.

 

ANTIHYPERURICEMICS

Preferred

Non-Preferred

ALLOPURINOL                                     Added as Preferred

ULORIC®

COLCRYS®                                            Added as Preferred

ZYLOPRIM®

PROBENECID                                       Added as Preferred

 

PROBENECID/COLCHICINE                  Added as Preferred

 

ANTICOAGULANTS:  ORAL

Preferred

Non-Preferred

PRADAXA®                                           Added as Preferred

COUMADIN®

WARFARIN                                          

JANTOVEN

XARELTO®                                            Added as Preferred

 

ANTICOAGULANTS:  INJECTABLE

Preferred

Non-Preferred

ARIXTRA®

LOVENOX®

FRAGMIN®

 

ENOXAPARIN

 

 

 

 

ANTIDEPRESSANTS:  SSRI’s

CITALOPRAM

FLUOXETINE 60mg               Changed to Non-Preferred

FLUOXETINE (CAP/SOLN/TAB not DR)

SERTRALINE CONCENTRATE

                                                Changed to Non-Preferred

FLUVOXAMINE

 

PAROXETINE

 

SERTRALINE

 

GLUCOCORTICOIDS:  INHALED

Preferred

Non-Preferred

ADVAIR® DISKUS

 

ADVAIR® HFA

 

DULERA®                                              Added as Preferred

 

SYMBICORT®

 

HYPOGLYCEMICS, INCRETIN MIMETICS/ENHANCER

Preferred

Non-Preferred

JANUMET®

JUVISYNC™

JANUMET XR®

 

JANUVIA®

 

JENTADUETO®                                     Added as Preferred

 

KOMBIGLYZE XR®

 

ONGLYZA®

 

TRADJENTA®                                        Added as Preferred

 

TOPICAL STEROIDS:  HIGH  

Preferred

Non-Preferred

BETA-VAL (CREAM/LOTION)

BETAMETHASONE VALERATE (OINT)†

BETAMETH VALERATE (CREAM/LOTION)

BETAMET DIPROP/PROPY GLYCOL (LOTION/OINT)†

BETAMETH DIPROP (CREAM/LOTION)

BETAMETHASONE DIPROP (GEL/OINT)†

BETAMETH/DIPRO/PROPYL GLYCOL (CREAM)

DESOXIMETASONE (CREAM/GEL)†

FLUOCINONIDE (CREAM/EMOL/GEL/SOLN)

FLUOCINONIDE (OINT)†

TRIAMCINOLONE ACETONIDE (CREAM/LOTION/OINT)

† Changed to Non-Preferred

 

 

The list above only reflects changes to the Preferred Drug List (PDL).  To view the complete Preferred Drug List (PDL), please refer to our website http://southcarolina.fhsc.com

 

Prescribers are strongly encouraged to write prescriptions for "preferred" products.  However, if a prescriber deems that a patient’s clinical status requires therapy with a Prior Authorized (PA) -required drug, the prescriber (or his/her designated office personnel) is responsible for initiating the PA request.  A prospective, approved PA request will prevent rejection of prescription claims at the pharmacy due to the PA requirement.

 

All PA requests should be submitted via WebPA, telephone, or fax to the Magellan Medicaid Administration Clinical Call Center by the prescriber or the prescriber’s designated office personnel.  To access the WebPA tool, visithttp://southcarolina.fhsc.com, click on "Prescribers", then "WebPA".  New users will need to click on “UAC” in the right hand corner to request a user ID and password.  The toll-free telephone and fax numbers for the Clinical Call Center are 866-247-1181 and 888-603-7696, respectively.  The Magellan Medicaid Administration Clinical Call Center telephone number is reserved for use by healthcare professionals and should not be provided to beneficiaries.  Magellan Medicaid Administration’s SC Medicaid beneficiary call centertelephone number for Pharmacy Services is 800-834-2680.  Providers may furnish the beneficiary call center telephone number to Medicaid beneficiaries for Pharmacy Services-related issues only.)

 

A pharmacy claim submitted for a PA-required product that has not been approved for Medicaid reimbursement will reject.  If this occurs, the pharmacist should contact the prescriber so that a determination can be made regarding whether a drug not requiring PA is clinically appropriate for the patient.

 

Questions regarding this bulletin should be directed to Magellan Medicaid Administration’s Call Center at 866-254-1669.