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Neighborhood Health Plan of Rhode Island
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        • Neighborhood has been helping Rhode Island families stay healthy for almost 30 years by providing access to excellent health care.

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        • Welcome to Neighborhood’s Commercial Member plan section. If you purchased a health plan through HealthSource RI or have a plan through your small employer, find information about your benefits here.

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        • Welcome! We are happy to offer a health and drug plan for Rhode Islanders eligible for both Medicare and Medicaid — Neighborhood INTEGRITY (Medicare-Medicaid Plan).

Medicaid Medical Pharmacy Benefit HCPCS Codes Requiring an NDC for Submission

 

Pharmaceuticals NDC Billing Requirement Policy

Medical Pharmacy Benefit HCPCS listing

Medical Pharmacy Benefit Authorization Criteria

Medicare Part B Step Therapy Document

 

EOHHS NDC Required HCPCS Code Files

Quarter 4, 2020

Quarter 1, 2021

Quarter 2, 2021

Quarter 3, 2021

Quarter 4, 2021

Last Updated 2/3/2022

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