| Drug Utilization Review (DUR) and Pharmaceutical and Therapeutics (P&T) Websites Update |
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| The Drug Utilization Review (DUR) and Pharmaceutical and Therapeutics (P&T) websites are temporarily inaccessible due to the Change Healthcare outage. Meeting notices will be posted on this page until the DUR and P&T websites are operational again. |
The purpose of the Iowa Medicaid Pharmacy page is to guide providers to available Iowa Medicaid Pharmacy resources.
FFS Pharmacy POS Network Outage
Updated March 29, 2024: Change Healthcare’s pharmacy point-of-sale (POS) system for Iowa’s Fee-For-Service (FFS) population is operational as of March 28, 2024, at 2:00 pm. Pharmacies are able to process claims for FFS members. Providers and pharmacies may contact the POS helpdesk at 1-877-463-7671 or 515-256-4608 (local). Please see additional information here.
Updated February 26, 2024: Change Healthcare experienced a nationwide outage with their pharmacy point-of-sale system for Iowa's Fee-For-Service Medicaid population. This affected eligibility lookup, prior authorization, and billing. Read more about the outage at Change Healthcare Cyberattack Information.
To provide the best possible service, HHS is providing the following information to assist pharmacies in providing continued service to Iowa Medicaid FFS members.
- PDL Effective January 5, 2024
- Prior Authorization Criteria Chart - January 2024
- Quantity Limits List - January 1, 2024
- Brands Preferred over Generics - January 1, 2024
- OTC Drug List by Category - January 26, 2024
This outage does not affect members assigned to and receiving pharmacy benefits through a managed care organization like Iowa Total Care, Molina Health Care of Iowa, or Wellpoint Iowa.