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OMAP Issues Guidance on Tamper-Resistant Prescription Pads
September 21, 2007

Medical Assistance (MA) Bulletin 99-07-16, Tamper-Resistant Prescription Pads, (www.dpw.state.pa.us/General/Bulletins/003673169.aspx?BulletinId=4095) with an issue date of September 27 and effective October 1, provides guidance on use of tamper-resistant prescription pads for MA prescriptions. Tamper-resistant prescription pads are required beginning October 1 for MA prescriptions paid through the Fee-for-Service program, whether as a primary or secondary payer. This includes prescriptions for those receiving services through HealthChoices behavioral health managed care organizations if prescriptions are paid through the Fee-for-Service program. The requirement does not apply to prescriptions presented for payment in the managed care delivery system. Nor does it apply to electronic, verbal, or faxed prescriptions. An attachment to the bulletin (www.dpw.state.pa.us/General/Bulletins/003673169.aspx?AttachmentId=4093) provides a list of tamper-resistant prescription pad printers and suppliers.

The Department of Public Welfare Office of Medical Assistance Programs has posted Frequently Asked Questions and Answers Regarding Tamper-Resistant Prescription Pads (FAQ) on the Pharmacy Services web page (www.dpw.state.pa.us/Health/MAPharmProg). The FAQ clarifies that the rule applies to Medical Assistance recipients who receive prescribed medications through an outpatient hospital or independent medical clinic, outpatient psychiatric clinic, outpatient drug and alcohol clinic, or psychiatric partial hospitalization program.

Articles in the August and September editions of Provider News provide more information about the federal requirements for tamper-resistant prescription pads. Please contact Betty Simmonds with questions.

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