This GIS is to inform local departments of social services and the Human Resources Administration (HRA) of changes to the fee-for-service pharmacy benefit for full benefit Medicare/Medicaid dual eligibles.
Effective October 1, 2011, the Medicaid program will no longer pay for Medicare Part D drugs in the following drug classes when billed for full benefit Medicare/Medicaid dual eligibles:
atypical antipsychotics
antidepressants
antiretrovirals used in the treatment of HIV/AIDS
antirejection drugs used for tissue and organ transplants.
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