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Pharmacy
User: Visitor July 25, 2008
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

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Name Description Date
MaineCare MAC List Effective 07.24.2008 MaineCare MAC List Effective 07.24.2008 272 kB   7/11/2008
MaineCare MAC List Effective 06.26.2008 MaineCare MAC List Effective 06.26.2008 271 kB   6/17/2008
MaineCare MAC List Effective 05.22.2008 MaineCare MAC List Effective 05.22.2008 267 kB   5/13/2008
MaineCare MAC List Effective 04.24.2008 MaineCare MAC List Effective 04.24.2008 265 kB   4/16/2008
MaineCare MAC List Effective 03.27.2008 MaineCare MAC List Effective 03.27.2008 266 kB   3/20/2008
MaineCare MAC List Effective 3.20.2008 MaineCare MAC List Effective 3.20.2008 255 kB   3/20/2008
MaineCare MAC List Effective 03.13.2008 MaineCare MAC List Effective 03.13.2008 238 kB   3/20/2008
MaineCare MAC List Effective 02.28.2008 MaineCare MAC List Effective 02.28.2008 214 kB   2/20/2008
MaineCare MAC List Effective 01.24.2008 MaineCare MAC List Effective 01.24.2008 475 kB   2/4/2008
MaineCare MAC List Effective 12.28.2007 MaineCare MAC List Effective 12.28.2007 518 kB   12/26/2007
MaineCare MAC List Effective 11.22.2007 MaineCare MAC List Effective 11.22.2007 253 kB   11/15/2007
Pharmacy Listing by NABP Number Pharmacy Listing by NABP Number 108 kB   10/31/2007
MaineCare MAC List Effective 10.25.2007 MaineCare MAC List Effective 10.25.2007 221 kB   10/26/2007
MaineCare MAC List Effective 09.27.2007 MaineCare MAC List Effective 09.27.2007 221 kB   9/19/2007
MaineCare Mac List Effective 8.24.2007 MaineCare Mac List Effective 8.24.2007 192 kB   8/22/2007
MaineCare MAC List Effective 08.02.2007 MaineCare MAC List Effective 08.02.2007 190 kB   7/23/2007
MaineCare MAC List Effective 06.28.2007 MaineCare MAC List Effective 06.28.2007 184 kB   6/13/2007
MaineCare MAC List Effective 05.24.2007 MaineCare MAC List Effective 05.24.2007 181 kB   5/18/2007
MaineCare MAC List Effective 04.26.2007 MaineCare MAC List Effective 04.26.2007 180 kB   4/20/2007
NPI Memo April 17, 2007 NPI Memo April 17, 2007 27 kB   4/17/2007
MaineCare MAC List Effective 03.22.2007 MaineCare MAC List Effective 03.22.2007 175 kB   3/15/2007
MaineCare MAC List Effective 02.23.2007 MaineCare MAC List Effective 02.23.2007 165 kB   3/5/2007
Instructions for Submitting Claims for Unassigned Duals & MEPARTD Wrap Processing Instructions for Submitting Claims for Unassigned Duals & MEPARTD Wrap Processing 55 kB   10/25/2006
Enhancement to the MaineCare Safety Net for Unassigned Duals Enhancement to the MaineCare Safety Net for Unassigned Duals 22 kB   8/16/2006
MEDEL MEPARTD Update MEDEL MEPARTD Update 400 kB   8/16/2006
Part D RAC Category chart PROVIDER VERSION Part D RAC Category chart PROVIDER VERSION 76 kB   8/16/2006
Medicare Part D Manual Claim Form Medicare Part D Manual Claim Form 222 kB   1/31/2006
Emergency Procedure for Part D issues Emergency Procedure for Part D issues 402 kB   1/3/2006
Medicare Part D PDP Contact Information (USA) Medicare Part D PDP Contact Information (USA) 159 kB   12/30/2005
Medicare Part D Q & A Medicare Part D Q & A 32 kB   12/30/2005
MaineCare: Medicare Part D Excluded Drugs MaineCare: Medicare Part D Excluded Drugs 26 kB   12/15/2005
Zoloft Splitting Table Zoloft Splitting Table 36 kB   6/24/2005
MaineCare Diabetic Supply List MaineCare Diabetic Supply List 41 kB   3/28/2007
Celexa/Citalopram Splitting Table - 01.06.2004 Celexa/Citalopram Splitting Table - 01.06.2004 34 kB   4/19/2005
DAW 8 List - 01/23/2004 DAW 8 List - 01/23/2004 31 kB   4/19/2005
Diabetic Supplies Information - 09/30/2003 Diabetic Supplies Information - 09/30/2003 53 kB   4/19/2005
Diag. SC Eligible Drug List - Current Diag. SC Eligible Drug List - Current 56 kB   4/19/2005
Lexapro Splitting Table - 08/27/2004 Lexapro Splitting Table - 08/27/2004 15 kB   2/19/2007
MaineCare Compound Claim Form MaineCare Compound Claim Form 206 kB   4/19/2005
MaineCare Covered Asthma Supplies List - 02/14/2004 MaineCare Covered Asthma Supplies List - 02/14/2004 61 kB   4/19/2005
MaineCare Diagnosis Codes - 01/09/2004 MaineCare Diagnosis Codes - 01/09/2004 38 kB   4/19/2005
MaineCare OTC MAC List - Effective 04/28/2005 MaineCare OTC MAC List - Effective 04/28/2005 399 B   3/29/2005
MaineCare PA Conversion Chart MaineCare PA Conversion Chart 54 kB   4/19/2005
MaineCare Physician's J-Code/NDC Crosswalk Report - 05/12/2004 MaineCare Physician's J-Code/NDC Crosswalk Report - 05/12/2004 19 kB   4/19/2005
MaineCare Restricted Direct Supply Drug List - 12/2004 MaineCare Restricted Direct Supply Drug List - 12/2004 19 kB   4/19/2005
MaineCare Reversal Form MaineCare Reversal Form 69 kB   1/12/2007
MaineCare Specialty Direct Supply Drug List - 9.27.2005 MaineCare Specialty Direct Supply Drug List - 9.27.2005 57 kB   9/27/2005
MaineCare Supplemental Request Form MaineCare Supplemental Request Form 223 kB   4/19/2005
Pharmaceutical Companies Contact List - 08/13/2004 Pharmaceutical Companies Contact List - 08/13/2004 465 kB   4/19/2005
MaineCare MAC List Effective 08.23.2007 MaineCare MAC List Effective 08.23.2007 192 kB   3/14/2008

Maine Rx Plus

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Name Description Date
MaineRx Plus Pharmacy List MaineRx Plus Pharmacy List 121 kB   3/2/2006