Maine.gov
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General Pharmacy Info

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Name Description Date
Maintenance List as of 02.27.2023 1.14 MB 2023/03/14
Specialty Drug List 2022Q2 289.14 KB 2022/07/06
Important Billing Information for Maine RX COVID 169.28 KB 2021/07/02
Synagis Season Update 117 KB 2021/03/03
Enrolled Pharmacy List as of 06042020 143.52 KB 2020/07/24
MaineCare Abilify Splitting Table 56.93 KB 2019/02/19
Pharmacy Notice 2019 Plan Changes 44.86 KB 2018/10/05
Morphine Sulfate Equivalent (MSE) Chart 211.81 KB 2018/02/05

CMS Rebatable List

Name Description Date
CMS Rebatable Drug List 1Q2023 7.13 MB 2023/08/21
CMS Rebatable Drug List 3Q2022 6.99 MB 2023/01/23
CMS Rebatable Drug List 1Q2022 6.83 MB 2022/07/08
CMS Rebatable Drug List 2Q2021 8.49 MB 2021/08/16
CMS Rebatable Drug List 1Q2021 6.64 MB 2021/08/06
CMS Rebatable Drug List 1Q2020 6.42 MB 2020/06/23
CMS Rebatable Drug List 3Q2019 6.37 MB 2020/01/16
CMS Rebatable Drug List 2Q2019 6.37 MB 2019/10/29
CMS Rebatable Drug List 1Q2019 6.28 MB 2019/07/18

Memos and Mailings

Name Description Date
Pediatric Covid Vaccine Coverage Notice 133.25 KB 2023/11/20
Maine RSV Season Update 133.11 KB 2023/11/14
Change to Covid Vaccine Administration Fee 162.13 KB 2023/11/02
Vaccine Update 2023-24 Newsletter 215.89 KB 2023/10/27
Provider Newsletter Sept 2023 PDL Update 228.84 KB 2023/10/20
Provider Newsletter- Naloxone Standing Order 199.91 KB 2023/09/26
Pharmacy Newsletter- Test strip limits with CGM 226.9 KB 2023/09/08
Provider Newsletter July 2023 PDL Update 265.14 KB 2023/08/15
Pharmacy Newsletter: Buprenorphine Monotherapy 184.89 KB 2023/05/19
Provider Newsletter DEL Update 209.98 KB 2023/05/08
Pharmacy Newsletter- Public Health Emergency Termination 246.79 KB 2023/05/08
Provider Newsletter April 2023 PDL Update 260.56 KB 2023/04/14
End of RSV Season palivizumab Coverage 2023 122.81 KB 2023/03/03
Pharmacy Newsletter 2023 195 KB 2023/03/03
Provider Newsletter February 2023 PDL Update 243.99 KB 2023/02/06
Pharmacy Benefit Update Winter 2022 224.31 KB PDL Changes will be effective January 1, 2023 2022/12/12
Influenza 2022_2023 212.4 KB 2022/10/25
Provider Newsletter October 7 2022 PDL Update 176.13 KB 2022/10/07
ProAir HFA Discontinuation 163.97 KB 2022/10/07
PartD Copay and Plan Changes Effective 1/1/23 162.19 KB 2022/10/07
Provider Newsletter August 2 2022 PDL Update 142.99 KB 2022/08/02
Requiring Prescriber Enrollment 111.96 KB 2022/06/20
Provider Newsletter April 8 2022 PDL Update 145.61 KB 2022/04/11
End of Atypical Inter-Season palivizumab coverage 119.4 KB 2022/03/08
Pharmacy Updates: Varenicline and NPH Newsletter 179.14 KB 2022/02/24
REMINDER: Standing Order for Dispensing COVID OTC Test Kit 155.78 KB 2022/02/07
Provider Newsletter January 14 2022 PDL Update 166.28 KB 2022/01/14
Buprenorphine Pregnancy Memo 94.39 KB 2022/01/13

Forms

Name Description Date
Reversal Form 21.81 KB 2014/08/28
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
MEPARTD Manual Claim Form NCPDP D.0 168 KB 2014/04/29
BMS012 Form 64.22 KB 2010/12/23

Maine Rx Plus

Name Description Date
MaineRx Plus Pharmacy List by NAME 135.91 KB 2010/03/05
MaineRx Plus Pharmacy List by NABP 135.84 KB 2010/03/05
MaineRx Plus Pharmacy List by NPI 135.84 KB 2010/03/05