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Friday, November 1, 2024

MICHIGAN, HEALTH AND HUMAN SERVICES DEPARTMENT: Prescription drugs covered by Medicaid Health Plans topic of October meeting

Michigan, Health and Human Services Department issued the following announcement on Sept. 23.

The public is invited to attend an Oct. 1 meeting regarding the list of prescription drugs covered under Michigan’s Medicaid health plans.

This list is known as the Medicaid Health Plan Common Formulary.

The annual Michigan Medicaid Health Plan common formulary stakeholder meeting will be held virtually this year due to COVID-19 from 9:30 a.m. to noon via Microsoft Teams. Details for joining via Teams is below:

Join Microsoft Teams Meeting

+1 248-509-0316 

Conference ID: 620 190 146#

The Michigan Department of Health and Human Services (MDHHS) in 2016 created the common formulary to streamline drug coverage policies for Medicaid and Healthy Michigan Plan beneficiaries and providers. The common formulary is required in state law and in the Medicaid health plan contract to ensure that prescription drugs are common across all contracted plans.

Medicaid health plans may be less restrictive – but not more restrictive – than the coverage in the common formulary for products not on the Michigan Preferred Drug List, which is a subset of the drugs listed on the common formulary.

Effective Oct. 1, the common formulary coverage for products will follow the Michigan Preferred Drug List – including any prior authorization and step therapy requirements. This initiative will result in significant savings to the State of Michigan and will further streamline consistency of drug coverage across Managed and Fee-For-Service Medicaid.

The purpose of the meeting is to provide an annual forum for the public, stakeholders and interested parties to comment on the prescription list. The forum is in addition to the quarterly written public comment periods.

“It is important for Medicaid and Healthy Michigan Plan beneficiaries to have the opportunity to comment on whether prescription drugs on the common formulary list will meet their health needs,” said Kate Massey, MDHHS senior deputy director for Medical Services

Administration and Medicaid director. “We welcome their participation in this pubic meeting and look forward to hearing their insight – as well as feedback from providers and other stakeholders.”

Anyone who plans to attend should notify krepsd@michigan.gov no later than Monday, Sept. 28 and is asked to request special accommodations if needed to join the meeting. Find more information about the common formulary, including the list of covered prescription drugs, at michigan.gov/MCOpharmacy.

Anyone unable to attend can submit questions or comments to the Common Formulary mailbox at MDHHSCommonFormulary@michigan.gov.

Original source can be found here.

Source: Michigan, Health and Human Services Department

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