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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