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Medi-Cal Update

Pharmacy | March 2021 | Bulletin 988

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1. Clinical Review: Recommendations for the Tapering of Benzodiazepines

A new DUR Educational Article titled “Clinical Review: Recommendations for the Tapering of Benzodiazepines (PDF)” is available on the DUR: Educational Articles page of the Medi-Cal website.

2. Medi-Cal List of Contract Drugs

The following provider manual section(s) have been updated: Drugs: Contract Drugs List Part 1 – Prescription Drugs and Drugs: Contract Drugs List Part 4 – Therapeutic Classifications.

A summary of drugs that have been added or changed is shown below. For additional information, click on the link to the manual section and scroll to the page indicated or use the find feature to search for the particular drug.

Effective Date Drug Summary of Changes    Page(s) Updated
January 21, 2021    Relugolix Drug added,
administration added,
restriction added   
drugs cdl p1c (69),
drugs cdl p4 (11)
February 3, 2021 Cabotegravir/Rilpivirine Drug added,
administration added,
restriction added   
drugs cdl p1a (47),
drugs cdl p4 (7)
April 1, 2021 Propranolol Hydrochloride    Drug added,
administration added,
restriction added   
drugs cdl p1c (63),
drugs cdl p4 (19)
April 1, 2021    Sodium Zirconium
Cyclosilicate
Drug added,
administration added,
restriction added   
drugs cdl p1d (7),
drugs cdl p4 (31)
Effective Date Drug Summary of Changes    Page(s) Updated
April 1, 2021    Asenapine Restriction updated drugs cdl p1a (24)
April 1, 2021    Exenatide Restriction updated drugs cdl p1b (23)
April 1, 2021    Lurasidone Hydrochloride Restriction updated drugs cdl p1b (94)
April 1, 2021    Morphine Sulfate/Naltrexone    Restriction updated drugs cdl p1b (114)
April 1, 2021    Nevirapine Restriction added drugs cdl p1c (8)

3. Authorized Drug Manufacturer Labeler Codes Update

The Drugs: Contract Drugs List Part 5 – Authorized Drug Manufacturer Labeler Codes section has been updated as follows.

Additions, effective April 1, 2021
NDC Labeler Code Contracting Company's Name
24689 Apnar Pharma
60219 Amneal Pharmaceuticals
70512 Sola Pharmaceuticals
71127 Laboratoire Francais Du Fractionnement
71247 Innogenix, LLC
71308 Trevena, Inc.
71837 Partner Therapeutics, Inc.
72078 Mylan Institutional LLC
72089 Evoke Pharma Inc.
72516 Oryza Pharmaceuticals, Inc.
72570 Delsam Pharma LLC
72763 Estreno Pharmaceuticals LLC
72829 Rhythm Pharmaceuticals, Inc.
72974 Myovant Sciences, Inc.
73042 Y-MAbs Therapeutics, Inc.
73079 Eiger Biopharmaceuticals Inc.
73090 Eusa Pharma (US) LLC
73150 TG Therapeutics, Inc.
74676 Verity Pharmaceuticals Inc.
75626 Aurinia Pharma U.S, Inc.
78670 USWM, LLC
Terminations, effective April 1, 2021
NDC Labeler Code Contracting Company's Name
16103 Pharbest Pharmaceuticals, Inc.
24987 Covis Pharmaceuticals Inc.
28105 Hill Dermaceuticals, Inc.
49663 Raptor Therapeutics, Inc.
50484 Smith & Nephew, Inc.
57881 Galena Biopharma, Inc.
64116 Intermune Pharmaceuticals, Inc.
65847 Scios Inc.
68712 JSJ Pharmaceuticals
70868 Key Therapeutics, LLC
72245 Forte Bio-Pharma LLC
72508 Neopharma Inc.

Provider Manual(s) Page(s) Updated
Adult Day Health Care Centers
AIDS Waiver Program
Chronic Dialysis Clinics
Clinics and Hospitals
Expanded Access to Primary Care Program
General Medicine
Heroin Detoxification
Home Health Agencies/Home and Community-Based Services   
Hospice Care Program
Multipurpose Senior Services Program
Obstetrics
Pharmacy
Rehabilitation Clinics
drugs cdl p5 (6, 7, 9, 11, 12, 14–16, 18–22)

4. Pen Needles Quantity Restrictions Change, Effective March 1, 2021

Effective for dates of service on or after March 1, 2021, pen needles quantity limits without authorization have been updated to allow 100 pen needles per claim with no more than three (3) claims in a 90-day period. Pen needles are used in conjunction with injection pens to deliver injectable medications into the body and are billed on a pharmacy claim using the contracted product’s National Drug Code (NDC). Please refer to the Medical Supplies Billing Codes, Units and Quantity Limits effective for dates of service on or after January 1, 2021, for contracted product information.

5. Updates to the List of Contracted Incontinence Absorbent Products

Effective for dates of service on or after April 1, 2021, for additions, June 1, 2021, for deletions and February 1, 2020 for one Smart Choice product (UPN 40857950006006) the List of Contracted Incontinence Absorbent Products is updated. Contracted products are added, updated and/or deleted for manufacturers Attends, Cardinal, Secure and Smart Choice. Product descriptions are also updated for one Drylock product (ILI03200) and one Hartmann product (333607).

6. Provider Manual Revisions

Pages updated due to ongoing provider manual revisions:



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