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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DIABETES

Diabetes is a disorder in the way the body uses digested food for growth and energy.  Glucose is the main source of fuel for the body and the body’s inability to utilize glucose can lead to diabetes.

 

Did you know?

-Diabetes is the 7th leading cause of death in NC and in the nation.

-Proper management of diabetes can prevent unnecessary complications, including blindness and amputations.

 

Diabetes Disease Management for Providers and Patients includes:

  • Adopting American Diabetes Association standards for diabetic care.
  • At least two diabetic care appointments each year.
  • A dilated eye exam every year with report of exam in the medical records.
  • Glycosylated Hemoglobn (HbA1c) test at least twice a year.
  • Annual flu vaccine.
  • Foot exam with monofilament at least annually.
  • Annual Cholesterol (LDL) screening.

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

 

  American Diabetes Association (ADA)
  National Diabetes Information Clearinghouse
  Better Health of Cumberland County
  National Diabetes Education Program

 
 

Carolina Collaborative Community Care (4C)

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