September 5th, 2008

Medical Assistance Program; Prior Authorization List

The Department of Public Welfare (Department) announces additions to the Medical Assistance (MA) Program’s list of services and items requiring prior authorization, effective September 15, 2008:

*  Letairis
*  Methadone
*  Myobloc (Botulinum Toxin Type B)
*  Atypical antipsychotics when two or more are prescribed for 60 days or more
*  Atypical antipsychotics when prescribed for children under 6 years of age
*  Stimulants and related agents when prescribed for children under 4 years of age
*  Over-The-Counter (OTC) cough and cold medications when prescribed for children under 2 years of age

   Section 443.6(b)(7) of the Public Welfare Code (62 P. S. § 443.6(b)(7)) authorizes the Department to add items

Clinical Laboratory Improvement Amendments