'N' Identifies an OTC products that are both covered by Medicaid, but do not meet the definition of a Covered Outpatient Drug under § 1927(k)(4) of the Social Security Act.

OTC Indicator - 'Y' Identifies an OTC product that are both covered by Medicaid and meet the definition of a Covered Outpatient Drug under § 1927(k)(4) of the Social Security Act. Details regarding these limitations can be found by accessing the Preferred Drug List ' PA may be required if drug is non-preferred OR clinical criteria including FQD limits OR step therapy requirements are not met. PA code 'G' = PA required / may be required.Additional information about NADAC pricing can be found at: PA Code Field Values: If the MRA and ALT fields are equal, the ALT field will be set to zeroes. The cost calculated per unit based on current reimbursement methodology: Ĭost Alternate (ALT) - identifies the National Average Drug Acquisition Cost (NADAC) price, if available.

The 3 segments of the 11-digit NDC identify: the labeler (5-digit), the product (4-digit), and the commercial package size (2-digit). When you search, your matches are displayed, sorted by price. If you have questions or need assistance,Įxample: To find all drugs whose NDC code contains '1234', sorted by price, you would start by selecting 'NDC Code' as the field to use.Įnter '1234' as the 'Value', and select 'MRA Cost' as the 'Sort By' field. Instead of using an asterisk ('*') character as a wildcard to search for multiple values, simply include only the partial string for which you are searching.įinally, select the field you would like to use when sorting your matches and click 'Search' to begin searching. Enter only one value at a time, using letters and/or numbers. Select the field you wish to use, then enter your search term in the 'Value' field. Edit/Error Knowledge Base (EEKB) Search Tool.National Diabetes Prevention Program (NDPP).Medicaid Managed Care Network Providers.Enrolled Practitioners SEARCH (including OPRA).

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