DEPARTMENT OF
PUBLIC WELFAREPharmacy Prior Authorization [41 Pa.B. 4594]
[Saturday, August 20, 2011]The Department of Public Welfare (Department) announces it will add Promethazine when prescribed for children under 6 years of age 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 Promethazine when prescribed for children under 6 years of age dispensed on or after August 22, 2011.
The Department will issue an MA Bulletin to providers enrolled in the MA Program specifying the procedures for obtaining prior authorization of prescriptions for the previously listed medication.
Fiscal Impact
While it is anticipated that the prior authorization requirement will result in savings, this change is expected to have minimal fiscal impact in the MA Out- patient Program.
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).
GARY D. ALEXANDER,
SecretaryFiscal Note: 14-NOT-711. No fiscal impact; (8) recommends adoption.
[Pa.B. Doc. No. 11-1442. Filed for public inspection August 19, 2011, 9:00 a.m.]
