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| Name | Description | Date |
|---|---|---|
| MaineCare Abilify Splitting Table 56.93 KB | 2019/02/19 | |
| Pharmacy Notice 2019 Plan Changes 44.86 KB | 2018/10/05 | |
| Pharmacy List by Name 397.51 KB | 2018/05/01 | |
| Pharmacy List by NPI 397.71 KB | 2018/05/01 | |
| Morphine Sulfate Equivalent (MSE) Chart 211.81 KB | 2018/02/05 | |
| Maintenance List as of 02.02.2018 2.47 MB | 2018/02/02 |
| Name | Description | Date |
|---|---|---|
| CMS Rebatable Drug List 3Q2018 6.21 MB | 2019/01/15 | |
| CMS Rebatable Drug List 2Q2018 6.12 MB | 2018/11/12 | |
| CMS Rebatable Drug List 1Q2018 810.8 KB | 2018/06/15 |
| Name | Description | Date |
|---|---|---|
| Brand Name Suboxone Film Update 125.01 KB | 2019/03/11 | |
| Provider Newsletter January 2019 PDL Update 46.13 KB | 2019/01/24 | |
| Pharmacy Benefit Update Winter 2018 237.12 KB | PDL Changes will be effective January 1, 2019 | 2018/12/17 |
| Provider Newsletter September 2018 PDL Update 47.69 KB | 2018/09/27 | |
| Provider Newsletter June 2018 PDL Changes 42.39 KB | 2018/06/11 | |
| Maine Outage Notice for June 29- July 2nd 85.86 KB | 2018/06/11 | |
| ME_Provider_Pilot_Registration 233.48 KB | Pharmacy Point of Sale (POS) Registration for Pharmacy Pilot Testing | 2018/05/08 |
| Maine Medicaid Pharmacy Pilot Testing Notification 380.06 KB | 2018/05/08 | |
| Provider Newsletter May 2018 PDL Changes 70.97 KB | 2018/05/01 | |
| Provider Newsletter February 2018 PDL Changes 41.32 KB | 2018/02/15 | |
| Maintenance 90 day-Update and PDL Updates 141.45 KB | 2018/01/22 |
| Name | Description | Date |
|---|---|---|
| Reversal Form 21.81 KB | 2014/08/28 | |
| MEPARTD Manual Claim Form NCPDP D.0 168 KB | 2014/04/29 | |
| MEPOP Manual Claim Form NCPDP D.0 168 KB | 2014/04/29 | |
| ME Compound Manual Claim form NCPDP D.0 168.08 KB | 2014/04/29 | |
| BMS012 Form 64.22 KB | 2010/12/23 |
| Name | Description | Date |
|---|---|---|
| MaineRx Plus Pharmacy List by NABP 135.84 KB | 2010/03/05 | |
| MaineRx Plus Pharmacy List by NPI 135.84 KB | 2010/03/05 | |
| MaineRx Plus Pharmacy List by NAME 135.91 KB | 2010/03/05 |
| Name | Description | Date |
|---|---|---|
| MEDEL: Medicare Part D Excluded Drugs 27.23 KB | 2005/12/15 | |
| MEDEL OTC Drug List 45.54 KB | 2005/08/30 | |
| MEDEL Supplemental Drug List 37.28 KB | 2005/08/30 | |
| MEDEL Basic Drug List 82.93 KB | 2005/08/30 | |
| Medicare Cost Avoidance Drug Listing Alphabetical - 05/12/2004 138.42 KB | 2005/04/19 | |
| Medicare Cost Avoidance Drug Listing by NDC - 05/12/2004 135.95 KB | 2005/04/19 | |
| Medicare Drug Benefit Comparison - 04/27/2004 35 KB | 2005/04/19 | |
| Medicare Drug Discount Card Press Release - 04/27/2004 23.5 KB | 2005/04/19 | |
| medicare/DEL Letter to Members - 04/27/2004 357 KB | 2005/04/19 | |
| MEDEL Catastrophic Cap Qualifying NDC Numbers - 03/25/2005 1.4 MB | 2005/03/29 | |
| MEDEL - Catastrophic Benefit Newsletter - 03/28/2005 22 KB | 2005/03/29 |