Change Healthcare Pharmacy Website
Visit the Change Healthcare’s Pharmacy website for:
- Preferred Drug Lists - Pharmacy, Diabetic Supply, and Over the Counter Rebate lists
- Drug Utilization Review (DUR) meeting schedule, agendas, and minutes
- BIN & PCN list for MaineCare Pharmacy claims processing
- State of Maine Maximum Allowable Costs (SMAC) lists and Dispute Form
Standing Orders
Naloxone
This Standing Order for prescribing naloxone nasal spray products authorizes licensed pharmacists to create a prescription for and dispense naloxone nasal spray products to eligible MaineCare members.
Nicotine Replacement Therapy (NRT) Products
This Standing Order for Dispensing Nicotine Replacement Therapy Products to MaineCare Beneficiaries (PDF) authorizes licensed pharmacists to dispense medically appropriate NRT products to eligible MaineCare members who require the products for help with smoking cessation or vaping cessation.
Non-Prescription Oral Contraceptive Products
This Standing Order authorizes licensed pharmacists to create a prescription for and dispense medically appropriate oral contraceptive products to eligible MaineCare members.
Medications for Treatment of Opioid Use Disorder (MOUD)
See the following documents for guidance about the Prior Authorization (PA) process for Buprenorphine:
- Prior Authorization Form for Buprenorphine and Suboxone (PDF) - July 2021
- Coverage and Prior Authorization (PA) Criteria for Buprenorphine for Treatment of Opioid Use Disorder (PDF) - July 2021
- Frequently Asked Questions: MaineCare / Change Health Care Prior Authorization Processes for Buprenorphine for Treatment of Opioid Use Disorder (PDF) - July 2021
February 21, 2024 - March 26, 2024 - Disruption of MaineCare Pharmacy Claims due to Cybersecurity
- Maine Based Pharmacies Qualifying for MaineCare Interim Payments (PDF) - March 18, 2024
- Pharmacy Technical Instructions For Backlog Claims Processing (PDF) - May 6, 2024
- MaineCare Provider Pharmacy Interruption FAQ (PDF)
- Letter to MaineCare Members About Interruption in Services (PDF)
- IVR Eligibility Check Instructions (PDF) – Instructions to check eligibility before providing services.