Changes to the PDL

Click below to view the changes to the PDL for Medicaid Patients.

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Pharmacy

The Partnership for Community Care Pharmacy Team

The Pharmacy Team consists of a Director of Pharmacy Services, a Clinical Pharmacist, and two Pharmacy Technicians.

Medication Management

The Pharmacy Team works closely with the interdisciplinary care management team to improve patient outcomes and cost savings through the CCNC model of transitional care and complex care management. Medication reconciliation is initially performed by the patient’s care manager in order to identify and address potential medication non-adherence and/or discrepancies. P4CC Pharmacists then perform a comprehensive review of the medication regimens of targeted, high-risk patients then communicate any pertinent findings/recommendations to the all members of the patient’s healthcare team.

Community Pharmacy Enhanced Services Network (CPESN)

The Pharmacy Team provides training and support for local CPESN pharmacies. The CPESN is a network of high-performing North Carolina pharmacies committed to broadening the availability of medication management resources to our state’s highest-needs population through active integration of pharmacist activity within the larger care team as well as the provision of enhanced services such as synchronization of a patient’s chronic medication fill dates, adherence packaging, home delivery, and comprehensive medication review with in-depth patient counseling. More information is available in the Related Downloads section. Currently participating pharmacies in Guilford, Randolph, and Rockingham counties include:

  • Archdale Drug (Archdale) – 336.434.1323
  • Belmont Pharmacy (Reidsville) – 336.342.4221
  • Bennett’s Pharmacy (Greensboro) – 336.272.7477
  • Carolina Apothecary (Reidsville) – 336.342.4090
  • Carolina Pharmacy (Asheboro) – 336.625.6146
  • Carter’s Family Pharmacy (Asheboro) – 336.625.8650
  • Eden Drug (Eden) – 336.627.4854
  • Genoa QoL Pharmacy (Greensboro) – 336.252.5608
  • Greensboro Family Pharmacy (Greensboro) – 336.938.0111
  • Prevo Drug (Asheboro) – 336.625.4311
  •  Belmont Pharmacy (Reidsville) – 336.342.4221
  • Bennett’s Pharmacy (Greensboro) – 336.272.7477
  • Carolina Apothecary (Reidsville) – 336.342.4090
  • Carolina Pharmacy (Asheboro) – 336.625.6146
  • Carter’s Family Pharmacy (Asheboro) – 336.625.8650
  • Eden Drug (Eden) – 336.627.4854
  • Genoa QoL Pharmacy (Greensboro) – 336.252.5608
  • Greensboro Family Pharmacy (Greensboro) – 336.938.0111
  • Prevo Drug (Asheboro) – 336.625.4311

Medicaid Programs and Policies

The Pharmacy Team provides education and troubleshooting services to providers and pharmacists regarding Medicaid programs and related prescription claims:

  • Preferred Drug List (PDL) – Medicaid prescription coverage listing; prescribers are encouraged to write prescriptions for preferred products; if a prescriber deems that the patient’s clinical status necessitates therapy with a non-preferred drug, the prescriber will be responsible for initiating a prior authorization request. Attachment. *Because the PDL is lengthy, use the Find feature to locate the drug or drug class you are searching for by selecting Edit-Find or holding Ctrl+F on your keyboard.
  • Prior Authorizations – additional documentation requirements that is required for certain medications/classes of medications; requests for approval may be submitted via fax, phone, or the NCTracks secure prior authorization portal; PA criteria, forms, and FAQ are located at here.
  • Medicaid Pharmacy Monthly Newsletter – provides updates to Medicaid Pharmacy Programs and Policies and are located at here.
  •  A+KIDS – safety monitoring program designed to ensure that children aged 17 and under enrolled in Medicaid and HealthChoice who are prescribed an antipsychotic medication are monitored according to generally accepted guidelines. More information is available in the Related Downloads section.
  • ASAP – safety monitoring program for adults aged 18 and over enrolled in Medicaid who are prescribed an antipsychotic medication that targets off-label prescribing of these agents. More information is available in the Related Downloads section.
  • “Narcotic Lock-In Program” – program that restricts identified patients to a single prescriber and pharmacy in order to obtain opioid analgesics, benzodiazepines, and certain anxiolytics. More information is available in the Related Downloads section.
  • NC Controlled Substances Reporting System – established to improve the state’s ability to identify people who abuse and misuse controlled substances and referring to treatment; see attached document in the Related Downloads section for instructions on how to sign up as a provider or a delegate. 
  • P4CC Quarterly Pharmacy Newsletter – compilation of Medicaid, FDA, and NC Board of Pharmacy updates from the preceding quarter that is distributed to primary care offices and pharmacies within the P4CC three-county catchment area. Available for viewing in the Related Downloads section.

Pharmacy Home Program

The Pharmacy Team utilizes the Pharmacy Home program developed by CCNC in response to the silos of care that can emerge around medication records. It is part of the larger CCNC Provider Portal that allows providers and other members of the care team to access contact information, visit history, labs, and prescription claims data for Medicaid-enrolled patients. The Provider Portal is available to practices, hospitals, and agencies engaged in quality improvement and care coordination through CCNC networks. Please contact us if you are interested in gaining free access.

Contact Us (336) 235-0930
 

Related Downloads