Pharmacy Provider Representative: Ann Bennett Tel.(571) 895-6866email Ann.Bennett2@gainwelltechnologies.com Please Note: Consumers with questions regarding prescriptions please contact your case manager. Program Information Drug Utilization Review OTC Listing January 2024 Pharmacy Prior Authorization Program Pharmacy and Therapeutics Committee Preferred Drug List October 1, 2024 Request for Out of State Pharmacy Services General Public Assistance (GPA) Drug Formulary Reference Guide Pharmacy Provider Manual News Updates: At-Home COVID-19 Test Kits Rhode Island Medicaid Managed Care Organization (MCO) and Fee-for-Service (FFS) beneficiaries were eligible to get up to eight free at-home COVID-19 test kits per month, through September 30, 2024. Policy for the Treatment of Hepatitis C (Updated January 1, 2022) RI State Maximum Allowable Cost (MAC) List Frequently Asked Questions (FAQ's) Where can I find the list of J Codes that require an NDC? Where can I find information about the RI AIDS Drug Assistance Program (ADAP)? Billing Part B Medications DUR Alert Override Codes Lost or Stolen Prescription Form and Instructions CMS List of Rebateable Drug Manufacturers Can pharmacies bill for administering vaccines?No. Billing for administering vaccines is submitted by a medical provider in the Fee-for-Service Medicaid Program. For more information on vaccines go to: October 2018 Provider Update How to bill NDCs on the CMS-1500 Form NCPDP D.0 Payer Sheet (Effective February 23, 2021) DESI Drug List (October 2024) Do Smoking Cessation Products need a prior authorization? No, effective January 2014 no prior authorization is needed.