INTERPRETIVE OR POLICY STATEMENT
SOCIAL AND HEALTH SERVICES
Subject: Prescription drug program: Preferred drug list, drug limitations, and expedited prior authorization updates.
Effective Date: November 3, 2004.
Document Description: Effective for claims with dates of service on and after December 6, 2004 (unless otherwise noted), the Medical Assistance Administration (MAA) will implement the following changes to the prescription drug program:
• Therapeutic drug class to be implemented as part of the Washington preferred drug list;
• Addition to the list of limitations on certain drugs; and
• Additions to the expedited prior authorization codes and criteria.
To receive a copy of the interpretive or policy statement, contact Barbara Salmon, Rules and Publications Section, Department of Social and Health Services, Medical Assistance Administration, Division of Policy and Analysis, P.O. Box 45533, Olympia, WA 98504-5533, phone (360) 725-1349 or go to website http://maa.dshs.wa.gov/download/publicationsfees.htm (click on "Numbered Memos," "Year 2004"), TDD 1-800-848-5429, fax (360) 586-9727, e-mail email@example.com.
November 8, 2004
Ann Myers, Manager
Rules and Publications Section