Appendix B: Vendor Drug Program

B.1 Vendor Drug Program B-2

B.1.1 VDP Benefits for Medicaid Fee-for-Service (FFS) Clients B-2

B.1.2 VDP Formulary Information B-3

B.1.3 Obtaining Outpatient Prescribed Drug Prior Authorization for FFS Clients B-3

B.1.4 Dispensing Life of Prescriptions B-3

B.1.5 VDP Contact Information B-4

B.1.6 72-Hour Emergency Supply B-4

B.1.7 Cost Avoidance Coordination of Benefits B-4

B.1.8 Tamper-Resistant Prescription Pads B-4

B.1.9 Schedule II Controlled Substances (CII) through Schedule V Controlled
Substances (CV) B-5

B.1.10 Free Delivery of Medicaid Prescriptions for FFS Clients B-5

B.2 Medicaid Children’s Services Comprehensive Care Program (CCP) Available
for Children and Adolescents B-5

B.3 Palivizumab (Synagis) Available Through the VDP B-5

B.3.1 Participating Palivizumab Distribution Pharmacies B-6

 

 

 

Note:

The information in this section is effective on or after March 1, 2012.