January 23, 2007
Dear Pharmacy Provider:
As of February 1, 2007, the emergency contraceptive drug, Plan B, can be dispensed as an over-the-counter (OTC) drug without a fiscal order to women 18 years of age and older. The dispensing of Plan B to women under 18 years of age still requires a prescription. Plan B will be limited to 6 courses of therapy in any 12 month period for any Plan B prescription and non-prescription combination.
In order to receive Medicaid payment for Plan B without a fiscal order, pharmacists must follow these Medicaid requirements:
- Verify the age of the Medicaid recipient (FDA requirement)
- Use the following MMIS prescriber ID# for Plan B dispensed without a fiscal order: 02833383
- This MMIS ID# can only be used when billing for OTC Plan B drugs dispensed without a fiscal order.
If you have any questions on this policy, you may contact the Bureau of Policy Development and Agency Relations at (518) 473-2160.
Office of Health Insurance Programs