March 2010

 

DMA established a Preferred Drug List (PDL) on March 15, 2010 to obtian better prices for covered outpatient drugs through supplemental rebates. Initially, there will be NO changes in the drugs that are currently covered.  In the future, selected therapeutic drug classes will be reviewed and specific drugs defined as "preferred." Generally, these drugs will not require Prior Authorization(PA) unless there are other clinical PA requirements such as step therapy or quantity limits.

"Non-preferred" drugs will be available if prior authorization criteria are met.  The PA process will be the same as it is today.  The prescriber will be responsible for initiating a PA request.  For therapeutic drug classes that do not appear on the PDL, nothing has changed.

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ASTHMA

Asthma is a chronic, inflammatory lung disease that causes the airways to tighten and narrow.  An asthma attack occurs when the lungs are not getting enough air to breathe.  During an asthma attack, the airways tighten, swell, or fill with mucus.  Common symptoms include:

  • Coughing
  • Wheezing
  • Shortness of breath
  • Chest tightness

 

Did you Know?

-Approximately 15 percent of the Medicaid population has an asthma diagnosis.

-Asthma is the primary and secondary reason for hospital stays and emergency room visits for patients under 21 years of age.

-Asthma Disease Management for physicians and patients include:

  • Adopting the National Institute of Health (NIH) guidelines in treating asthma.
  • Using an Asthma Action Plan in Medical Records, at home and in school.
  • Providers staging asthmatic patients (Mild Intermittent, Mild Persistent, Moderate Persistent, Severe Persistent).
  • Ensuring patients use effective medicine inhalation techniques and are taking medicines regularly.
  • Ensuring that asthmatic patients' home environment are free from asthma triggers as much as possible.

For more information about asthma, visit the websites below or call 4C!

 

  National Institute of Health
  Allergy and Asthma Network Mothers of Asthmatics
  NoAttacks.com 
  Smoke Free Homes Program

 

Carolina Collaborative Community Care (4C)

Phone: (910) 485-1250 Fax: (910) 485-7238