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Elizabeth M. Whitehorn, Director

Provider Notice issued 09/03/2024

 

To:
 Enrolled Pharmacies
​Date September 3, 2024
​Re:
 Formulary Now Updated with National Drug Codes (NDCs) Held due to Change Healthcare System Outage 

The Department of Healthcare and Family Services’ (HFS) Pharmacy Benefit Management System (PBMS) for the fee-for-service program, Change Healthcare, experienced a nationwide system outage as noted in the provider notice dated February 22, 2024. During the system outage, HFS was unable to add new National Drug Codes (NDCs) to the formulary. Providers were asked to hold fee-for-service (FFS) claims until the issue was resolved. 

The new NDCs are now available and have been added to the formulary; therefore, providers may release all FFS claims that have been held pending the update.

Questions regarding this notice may be directed to a pharmacy consultant in the Bureau of Professional and Ancillary Services at 877-782-5565.

 

Kelly Cunningham, Administrator
Division of Medical Programs