MS-DUR Resources for Providers

Do You Know Where the Drugs are Going?

Centers for Medicare and Medicaid Services slide presentation on drug diversion detection and prevention.

Abilify Tablet Splitting Resource

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.

Use of Proton Pump Inhibitors (PPIs) in PEG Tubes

This reference provides FDA-labeled and medically-accepted uses of PPIs in PEG tubes, including Medicaid PDL status effective 01-01-2013.

Updated Beers Criteria for Potentially Inappropriate Medicines in Older Adults

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).

Brand Generic PDL

This provider mailing from August 2012 discusses why some brand name drugs are preferred over generics on the Medicaid Preferred Drug List.

White Papers from MS-DUR Research Studies

Suboxone Resources

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.

Visit https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Education/edmic-landing.html

For information about the Mississippi Medicaid Pharmacy Services, visit:
https://www.medicaid.ms.gov/providers/pharmacy/

For information about the Mississippi Medicaid DUR Program, visit:
https://www.medicaid.ms.gov/providers/pharmacy/drug-utilization-review-dur-board/