Beginning Jan. 1, 2018, the Medicaid Final Rule requires that all prescribers and pharmacies must enroll with their respective State Fee for Service (FFS) program to ensure continued participation in Medicaid Managed Care networks.

Beginning August 1, 2017, OptumRx will require that a Drug Enforcement Administration (DEA) number for a care provider with the authority to prescribe controlled substances be included on all claims for controlled substances.

OptumRx Quantity Limit Changes on Short Acting Opioids impacting Employees of the State of Missouri attempting to fill medications due to work related injuries.

Pharmacies are required to complete the credentialing and re-credentialing process as well as keep updated documentation on file at all times in order to participate in all PBM network contracts.