The purpose of this transmittal is to inform you that the Department of Health Care Finance (DHCF) is requiring District of Columbia Medicaid participating pharmacies to distribute individualized written notices to Medicaid beneficiaries whose prescription medication claim request is denied after adjudication at the pharmacy point of sale. This applies to all beneficiaries who are served by D.C. Medicaid, including those enrolled in all D.C. Medicaid Managed Care Organization.