MS-DUR Resources for Providers
Centers for Medicare and Medicaid Services slide presentation on drug diversion detection and prevention.
The Division of Medicaid (DOM) Pharmacy and Therapeutics Committee made a recommendation that tablet splitting be required in order to keep Abilify® the preferred drug for this class and to continue providing coverage for all needed and medically acceptable doses while reducing costs for Medicaid. As of February 22, 2013, the DOM requires tablet splitting for prescriptions of Abilify® at doses that can be achieved by splitting a higher strength tablet.
The “Medicaid Cough and Cold Quick List” provides some examples of OTC and prescription cough and cold products that were not affected by the recent FDA withdrawal of cough and cold products. The chart was developed to provide guidance for prescribers and pharmacists to select drug therapy based on medically-accepted indications using information from the FDA, from drug compendia listings, and from the clinical literature. Mississippi Medicaid covers OTC cough and cold preparations pursuant to a valid prescription.
This reference provides FDA-labeled and medically-accepted uses of PPIs in PEG tubes, including Medicaid PDL status effective 01-01-2013.
On March 1, 2012, the American Geriatrics Society released an updated “Beers Criteria” for potentially inappropriate medicines in older adults. In the first major revision since 2003, the updated Beers Criteria now includes recommendations with quality of evidence ratings (e.g., Low, Moderate, and High) and strength of recommendation ratings (e.g., Insufficient, Weak, and Strong).
This provider mailing from August 2012 discusses why some brand name drugs are preferred over generics on the Medicaid Preferred Drug List.
Prescribers and Pharmacies
CMS Medicaid Program Integrity Education and Training Toolkits
The Center for Medicare and Medicaid Services provides a variety of educational toolkits to help providers with program integrity issues such as audits, required documentation, drug diversion, and more.
For information about the Mississippi Medicaid Pharmacy Services, visit:
For information about the Mississippi Medicaid DUR Program, visit: