Pharmacy benefits expanded for adult Medicaid clients

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LITTLE ROCK, Ark. — Arkansas Medicaid clients can now get additional prescriptions paid for each month. Previously, Arkansas Medicaid paid for up to three prescriptions for adult clients per month. Clients’ doctors also could request three more prescriptions if needed.

Now, adult Medicaid clients can get up to six prescriptions paid for by Medicaid per month. Also, multiple classes of routine medication will not count toward that limit. That means clients can get these types of prescriptions covered and get up to six other prescriptions paid for by Medicaid. Clients’ doctors will not be able to ask Medicaid to cover additional prescriptions.

The medication types that do not count toward each client’s limit are:

-High blood pressure
-High cholesterol
-Bleeding disorders
-Diabetes
-Inhalers for breathing disorders
-Birth control pills
-Contraceptives
-Medications used to treat opioid disorder
-Medications that help you stop smoking

The additional pharmacy benefits are only available to adults aged 21 and older who are in the fee-for-service Medicaid program, officials said.

For more information, clients can call the Arkansas Department of Human Services Pharmacy Department at 501-683-4120 or visit the ADH website.

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