Lamcopbmpharmacy.com

Forms and Documents

WebContact Us. Get your questions answered about drug pricing, pharmacy network, claims history or any other issues. (800) 424-1664

Actived: 4 days ago

URL: https://www.lamcopbmpharmacy.com/forms-and-information

60-Day Pharmacy Notice

Web**60-Day Pharmacy Notice** Louisiana Department of Health Bureau of Health Services Financing . Effective October 1, 2023 . New Pharmacy Benefits Manager

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Helper Utilities

WebContact Us. Get your questions answered about drug pricing, pharmacy network, claims history or any other issues. (800) 424-1664

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State of Louisiana

WebFax this form to 1-800-424-7402. Please fill out all applicable sections on all pages completely and legibly. Attach any additional documentation that is important for the …

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LDH Plan Reminder

WebOn October 28, 2023, Magellan Medicaid Administration (MMA) became the Single PBM for the approximately 1.7 million Beneficiaries of (6) six managed care organizations …

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Provider Notice Louisiana Department of Health

WebMMA will be accepting test claims during the testing window from August 28, 2023, through October 20, 2023. If you would like to submit test claims, please e-mail …

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PRIOR AUTHORIZATION REQUEST COVERSHEET

WebLouisiana Medicaid Aducanumab-avwa (Aduhelm ®) Clinical Authorization . Form. Fax this form to 1-800-424-7402. Revision Date: 10/26/2023 Louisiana Medicaid

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