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Updates to Pharmacy Manual Chapter 4 and a New Supplement to the Pharmacy and Practitioner Manuals

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Effective Date:

All prescribing Providers, Pharmacists and Managed Care Organizations Participating in the Virginia Medical Assistance Program
Cheryl J. Roberts, Director Department of Medical Assistance Services (DMAS)

The purpose of this memorandum is to notify providers that updates have been made to Chapter 4 of Pharmacy Manual and that a new Supplement is being attached to the Pharmacy and Practitioner Manuals. 

This updates to Chapter 4 of the Pharmacy Manual include the following:

  • References to pharmacy copays have been removed because members no longer have copays for pharmacy point of sale claims.

  • Addition of naloxone to over-the-counter (OTC) covered products.

  • Note that the preferred drug list (PDL) does not apply to FAMIS Members.

  • Specifications for dispensing fees for medications for opioid use disorder (MOUD).

  • Update to vaccines covered under the pharmacy benefit.

The new Supplement to the Pharmacy and Practitioner Manuals provides guidance on pharmacists, pharmacy technicians, and pharmacy interns enrolling with DMAS as providers, pursuant to Senate Bill 1538 of the 2023 General Assembly. 


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