DEPARTMENT OF
PUBLIC WELFAREPharmacy Prior Authorization [44 Pa.B. 4454]
[Saturday, July 12, 2014]The Department of Public Welfare (Department) announces it will add Hereditary Angioedema (HAE) Agents designated as preferred on the Department's Preferred Drug List to the Medical Assistance (MA) Program's list of services and items requiring prior authorization.
Section 443.6(b)(7) of the Public Welfare Code (62 P. S. § 443.6(b)(7)) authorizes the Department to add items and services to the list of services requiring prior authorization by publication of notice in the Pennsylvania Bulletin.
The MA Program will require prior authorization of all prescriptions for preferred HAE Agents. These prior authorization requirements apply to prescriptions dispensed on or after July 22, 2014.
The Department will issue an MA Bulletin to providers enrolled in the MA Program specifying the procedures for obtaining prior authorization of prescriptions for preferred HAE Agents.
Fiscal Impact
There is currently no utilization of HAE Agents in the Fee for Service program; therefore, it is anticipated that the prior authorization requirement will have no fiscal impact.
Public Comment
Interested persons are invited to submit written comments regarding this notice to the Department of Public Welfare, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120. Comments received within 30 days will be reviewed and considered for any subsequent revisions to these prior authorization requirements.
Persons with a disability who require an auxiliary aid or service may submit comments using the Pennsylvania AT&T Relay Service at (800) 654-5984 (TDD users) or (800) 654-5988 (voice users).
BEVERLY D. MACKERETH,
SecretaryFiscal Note: 14-NOT-892. No fiscal impact; (8) recommends adoption.
[Pa.B. Doc. No. 14-1468. Filed for public inspection July 11, 2014, 9:00 a.m.]
