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Pharmacy
User: Visitor March 10, 2010
Pharmacy Images
Provider Help Desk: (p) 888-420-9711 (f) 800-408-1088 | Member Help Desk: (p) 866-796-2463 (f) 207-287-8601
Prior Authorization (PA) Helpdesk (for Provider PA inquiries): (p) 888-445-0497 (f) 888-879-6938

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General Pharmacy Info

(click column headers to sort)
Name Description Date
MaineCare MAC List Effective 02.26.2010 MaineCare MAC List Effective 02.26.2010 92 kB   2010/02/26
MaineCare MAC List Effective 01.29.2010 MaineCare MAC List Effective 01.29.2010 91 kB   2010/01/22
MaineCare MAC List Effective 12.25.2009 MaineCare MAC List Effective 12.25.2009 94 kB   2010/01/06
MaineCare MAC List Effective 11.28.2009 MaineCare MAC List Effective 11.28.2009 91 kB   2010/01/06
Provider Newsletter - Synagis Provider Newsletter - Synagis 82 kB   2009/10/26
MaineCare MAC List Effective 10.23.2009 MaineCare MAC List Effective 10.23.2009 218 kB   2010/01/06
Pharmacy Listing by Name (09/04/09) Pharmacy Listing by Name (09/04/09) 784 kB   2009/09/21
Pharmacy Listing by NPI Number (09/04/09) Pharmacy Listing by NPI Number (09/04/09) 779 kB   2009/09/21
MaineCare MAC List Effective 09.25.2009 MaineCare MAC List Effective 09.25.2009 85 kB   2010/01/06
MaineCare MAC List Effective 08.28.2009 MaineCare MAC List Effective 08.28.2009 169 kB   2010/01/06
MaineCare MAC List Effective 07.24.2009 MaineCare MAC List Effective 07.24.2009 169 kB   2010/01/06
MaineCare MAC List Effective 6.26.2009 MaineCare MAC List Effective 6.26.2009 399 kB   2010/01/06
MaineCare MAC List Effective 05.30.2009 MaineCare MAC List Effective 05.30.2009 692 kB   2010/01/06
MaineCare MAC List Effective 04.24.2009 MaineCare MAC List Effective 04.24.2009 383 kB   2010/01/06
MaineCare MAC List Effective 03.28.2009 MaineCare MAC List Effective 03.28.2009 378 kB   2010/01/06
MaineCare MAC List Effective 02.27.2009 MaineCare MAC List Effective 02.27.2009 373 kB   2010/01/06
MaineCare MAC list  Effective 01.30.2009 MaineCare MAC list Effective 01.30.2009 374 kB   2010/01/06
MaineCare MAC List Effective 01.23.2009 MaineCare MAC List Effective 01.23.2009 378 kB   2010/01/06
Pharmacy Listing by NPI Number Pharmacy Listing by NPI Number 98 kB   2008/12/29
Pharmacy Listing by NABP Number Pharmacy Listing by NABP Number 984 kB   2008/12/29
Pharmacy Listiing by Name Pharmacy Listiing by Name 93 kB   2008/12/29
MaineCare MAC List Effective 12.27.2008 MaineCare MAC List Effective 12.27.2008 365 kB   2010/01/06
MaineCare MAC List Effective 11.29.2008 MaineCare MAC List Effective 11.29.2008 361 kB   2010/01/06
MaineCare MAC List Effective 10.24.2008 MaineCare MAC List Effective 10.24.2008 359 kB   2010/01/06
MaineCare MAC List Effective 09.26.2008 MaineCare MAC List Effective 09.26.2008 356 kB   2010/01/06
MaineCare MAC List Effective 08.29.2008 MaineCare MAC List Effective 08.29.2008 288 kB   2010/01/06
MaineCare MAC List Effective 07.24.2008 MaineCare MAC List Effective 07.24.2008 348 kB   2010/01/06
MaineCare MAC List Effective 06.26.2008 MaineCare MAC List Effective 06.26.2008 347 kB   2010/01/06
MaineCare MAC List Effective 05.22.2008 MaineCare MAC List Effective 05.22.2008 344 kB   2010/01/06
MaineCare MAC List Effective 04.24.2008 MaineCare MAC List Effective 04.24.2008 341 kB   2010/01/06
MaineCare MAC List Effective 03.27.2008 MaineCare MAC List Effective 03.27.2008 341 kB   2010/01/06
MaineCare MAC List Effective 3.20.2008 MaineCare MAC List Effective 3.20.2008 327 kB   2010/01/06
MaineCare MAC List Effective 03.13.2008 MaineCare MAC List Effective 03.13.2008 305 kB   2010/01/06
MaineCare MAC List Effective 02.28.2008 MaineCare MAC List Effective 02.28.2008 274 kB   2010/01/06
MaineCare MAC List Effective 01.24.2008 MaineCare MAC List Effective 01.24.2008 533 kB   2010/01/06
MaineCare MAC List Effective 12.28.2007 MaineCare MAC List Effective 12.28.2007 560 kB   2010/01/06
untitled untitled 296 B   2009/11/05
MaineCare MAC List Effective 10.25.2007 MaineCare MAC List Effective 10.25.2007 255 kB   2010/01/06
MaineCare MAC List Effective 09.27.2007 MaineCare MAC List Effective 09.27.2007 256 kB   2010/01/06
MaineCare Mac List Effective 8.24.2007 MaineCare Mac List Effective 8.24.2007 238 kB   2010/01/06
MaineCare MAC List Effective 08.02.2007 MaineCare MAC List Effective 08.02.2007 237 kB   2010/01/06
MaineCare MAC List Effective 06.28.2007 MaineCare MAC List Effective 06.28.2007 234 kB   2010/01/06
MaineCare MAC List Effective 05.24.2007 MaineCare MAC List Effective 05.24.2007 224 kB   2010/01/06
MaineCare MAC List Effective 04.26.2007 MaineCare MAC List Effective 04.26.2007 231 kB   2010/01/06
NPI Memo April 17, 2007 NPI Memo April 17, 2007 27 kB   2007/04/17
MaineCare MAC List Effective 03.22.2007 MaineCare MAC List Effective 03.22.2007 227 kB   2010/01/06
MaineCare MAC List Effective 02.23.2007 MaineCare MAC List Effective 02.23.2007 217 kB   2010/01/06
Instructions for Submitting Claims for Unassigned Duals & MEPARTD Wrap Processing Instructions for Submitting Claims for Unassigned Duals & MEPARTD Wrap Processing 55 kB   2006/10/25
Enhancement to the MaineCare Safety Net for Unassigned Duals Enhancement to the MaineCare Safety Net for Unassigned Duals 22 kB   2006/08/16
MEDEL MEPARTD Update MEDEL MEPARTD Update 400 kB   2006/08/16
Part D RAC Category chart PROVIDER VERSION Part D RAC Category chart PROVIDER VERSION 76 kB   2006/08/16
Medicare Part D Manual Claim Form Medicare Part D Manual Claim Form 314 kB   2008/10/20
Emergency Procedure for Part D issues Emergency Procedure for Part D issues 402 kB   2006/01/03
Medicare Part D PDP Contact Information (USA) Medicare Part D PDP Contact Information (USA) 159 kB   2005/12/30
Medicare Part D Q & A Medicare Part D Q & A 32 kB   2005/12/30
MaineCare: Medicare Part D Excluded Drugs MaineCare: Medicare Part D Excluded Drugs 26 kB   2005/12/15
Zoloft Splitting Table Zoloft Splitting Table 36 kB   2005/06/24
MaineCare Diabetic Supply List MaineCare Diabetic Supply List 41 kB   2007/03/28
Celexa/Citalopram Splitting Table - 05/2009 Celexa/Citalopram Splitting Table - 05/2009 69 kB   2009/05/18
DAW 8 List - 01/23/2004 DAW 8 List - 01/23/2004 31 kB   2005/04/19
Diabetic Supplies Information - 09/30/2003 Diabetic Supplies Information - 09/30/2003 53 kB   2005/04/19
Diag. SC Eligible Drug List - Current Diag. SC Eligible Drug List - Current 56 kB   2005/04/19
Lexapro Splitting Table - 08/27/2004 Lexapro Splitting Table - 08/27/2004 15 kB   2007/02/19
MaineCare Compound Claim Form MaineCare Compound Claim Form 284 kB   2008/10/20
MaineCare Covered Asthma Supplies List - 02/14/2004 MaineCare Covered Asthma Supplies List - 02/14/2004 61 kB   2005/04/19
MaineCare Diagnosis Codes - 01/09/2004 MaineCare Diagnosis Codes - 01/09/2004 38 kB   2005/04/19
MaineCare OTC MAC List - Effective 04/28/2005 MaineCare OTC MAC List - Effective 04/28/2005 399 B   2005/03/29
MaineCare PA Conversion Chart MaineCare PA Conversion Chart 54 kB   2005/04/19
MaineCare Physician's J-Code/NDC Crosswalk Report - 05/12/2004 MaineCare Physician's J-Code/NDC Crosswalk Report - 05/12/2004 19 kB   2005/04/19
MaineCare Restricted Direct Supply Drug List - 12/2004 MaineCare Restricted Direct Supply Drug List - 12/2004 19 kB   2005/04/19
MaineCare Reversal Form MaineCare Reversal Form 69 kB   2008/10/20
MaineCare Specialty Direct Supply Drug List - 9.27.2005 MaineCare Specialty Direct Supply Drug List - 9.27.2005 57 kB   2005/09/27
MaineCare Supplemental Request Form MaineCare Supplemental Request Form 287 kB   2008/10/21
Pharmaceutical Companies Contact List - 08/13/2004 Pharmaceutical Companies Contact List - 08/13/2004 465 kB   2005/04/19
MaineCare MAC List Effective 08.23.2007 MaineCare MAC List Effective 08.23.2007 237 kB   2009/06/26

Memos and Mailings

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Name Description Date
PDL Changes Effective February 19, 2010 PDL Changes Effective February 19, 2010 82 kB   2010/02/19
Savella PDL Change Effective Immediately Savella PDL Change Effective Immediately 75 kB   2010/02/11
PDL Updates Effective 01/01/2010 (Fortical) PDL Updates Effective 01/01/2010 (Fortical) 52 kB   2010/01/04
Emergency Fee Changes Emergency Fee Changes 83 kB   2009/12/16
Pharmacy Benefit Update - Winter 2009 Pharmacy Benefit Update - Winter 2009 67 kB   2009/12/08
PDL Updates Effective 01/01/2010 PDL Updates Effective 01/01/2010 80 kB   2009/12/04
PDL updates Effective 10/23/09 PDL updates Effective 10/23/09 110 kB   2009/10/20
PDL Updates Effective 10/01/09 PDL Updates Effective 10/01/09 75 kB   2009/09/30
Pharmacy Benefit Update - Fall 2009 Pharmacy Benefit Update - Fall 2009 61 kB   2009/09/30
Initial Prescription Limits (Phase III) Initial Prescription Limits (Phase III) 76 kB   2009/09/25
Pharmacy Reimbursements with AWP Pricing Change Pharmacy Reimbursements with AWP Pricing Change 86 kB   2009/09/11
Initial Prescription Limits (Phase II) Initial Prescription Limits (Phase II) 76 kB   2009/09/04
Initial Prescription Limits Initial Prescription Limits 59 kB   2009/08/10
New GERD/Ulcer Drug Utilization Management Program New GERD/Ulcer Drug Utilization Management Program 61 kB   2009/07/17
PDL Changes Effective 07/10/09 PDL Changes Effective 07/10/09 77 kB   2009/07/09
Pharmacy Benefit Update - Spring 2009 Pharmacy Benefit Update - Spring 2009 69 kB   2009/06/03
PDL Changes Effective 06/05/09 PDL Changes Effective 06/05/09 74 kB   2009/07/14
PDL Changes Effective 05/08/09 PDL Changes Effective 05/08/09 78 kB   2009/05/07
PDL Changes Effective 04/03/09 PDL Changes Effective 04/03/09 58 kB   2009/04/30
PDL updates: Effective 02/19/2009 PDL updates: Effective 02/19/2009 59 kB   2009/02/16
Pharmacy Benefit Update - Fall 2008 Pharmacy Benefit Update - Fall 2008 1 MB   2008/12/29
PDL Changes Effective 01/01/09 PDL Changes Effective 01/01/09 127 kB   2008/12/22
PDL Changes Effective 12/09/08 PDL Changes Effective 12/09/08 57 kB   2008/12/16
PDL updates: Effective 10/31/2008 PDL updates: Effective 10/31/2008 58 kB   2008/10/24
PDL Updates Effective 09/11/08 PDL Updates Effective 09/11/08 28 kB   2008/09/25
PDL updates effective 07/03/08 PDL updates effective 07/03/08 58 kB   2008/09/23
Pharmacy Benefit Update - Spring 2008 Pharmacy Benefit Update - Spring 2008 1 MB   2008/04/29
PDL Changes Effective 05/01/08 PDL Changes Effective 05/01/08 30 kB   2008/09/26
PDL Updates Effective 04/17/2008 PDL Updates Effective 04/17/2008 58 kB   2008/04/14
PDL Changes Effective 01/03/2008 PDL Changes Effective 01/03/2008 30 kB   2007/12/27
Pharmacy Benefit Update Newsletter Fall 2007 Pharmacy Benefit Update Newsletter Fall 2007 2 MB   2007/12/27
Pharmacy Benefit  Update -Summer 2007 Pharmacy Benefit Update -Summer 2007 2 MB   2007/11/01
Pharmacy MSP Conversion Letter Pharmacy MSP Conversion Letter 43 kB   2007/07/09
Pharmacy Co-Pay 6-07 Pharmacy Co-Pay 6-07 39 kB   2007/07/09
MSP Letter MSP Letter 28 kB   2007/07/09
I Care 5 + Chronic Meds (060507) I Care 5 + Chronic Meds (060507) 28 kB   2007/07/09
HCFA (J-Code) Rejection Process HCFA (J-Code) Rejection Process 57 kB   2007/07/09
Provider Letter - 4 Brand Limit Information Provider Letter - 4 Brand Limit Information 30 kB   2007/07/03
Pharmacy Benefit Update - Spring 2007 Pharmacy Benefit Update - Spring 2007 100 kB   2007/06/22
PDL Changes Effective 06/14/07 PDL Changes Effective 06/14/07 25 kB   2007/06/14
Miscellaneous PDL Changes Effective May 24, 2007 Miscellaneous PDL Changes Effective May 24, 2007 25 kB   2007/05/23
Oxycontin Changes and PDL updates effective 05/17/2007 Oxycontin Changes and PDL updates effective 05/17/2007 26 kB   2007/05/11
PDL-Changes-Effective-04.05.07.htm PDL-Changes-Effective-04.05.07.htm 3 kB   2007/05/09
Duragesic and fentanyl provider newsletter Duragesic and fentanyl provider newsletter 23 kB   2007/05/03
PDL Changes effective 04/19/2007 PDL Changes effective 04/19/2007 29 kB   2007/05/09
Pharmacy Benefit Update -  Winter 2007 Pharmacy Benefit Update - Winter 2007 185 kB   2007/03/14
Pharmacy Benefit  Update - Fall 2006 Pharmacy Benefit Update - Fall 2006 102 kB   2006/12/04
Pharmacy Benefit Update - Summer 2006 Pharmacy Benefit Update - Summer 2006 66 kB   2006/09/19

Maine Rx Plus

(click column headers to sort)
Name Description Date
MaineRx Plus Pharmacy List by NABP MaineRx Plus Pharmacy List by NABP 136 kB   2010/03/05
MaineRx Plus Pharmacy List by NPI MaineRx Plus Pharmacy List by NPI 136 kB   2010/03/05
MaineRx Plus Pharmacy List by NAME MaineRx Plus Pharmacy List by NAME 136 kB   2010/03/05