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Transmittal 20-38 72-hour (3-day) Emergency Supply of Medication


Friday, October 23, 2020

The purpose of the transmittal is to inform Medicaid pharmacy providers and prescribers  that the District’s Medicaid Fee for Service (FFS) and Medicaid Managed Care Organizations (MCOs) – AmeriHealth Caritas DC, CareFirst BlueCross BlueShield Community Health Plan DC, Health Services for Children with Special Needs (HSCSN), and MedStar Family Choice DC – authorize in-network pharmacy providers to dispense a 72-hour (3-day) emergency supply of medication(s) (determined by the pharmacist) while a prior authorization (PA) decision is being finalized. A 72-hour (3-day) emergency supply of medication is available when medication must be started or to prevent interruption in treatment when a PA is required.