Provider : Pharmacy Services

Please Note: Effective October 1, 2009,The Missouri HealthNet Division (MHD) carved out coverage for all medications and pharmaceuticals administered on an outpatient basis. This includes all drugs dispensed by pharmacies, physicians' offices, outpatient departments of hospitals, other outpatient clinics and diabetic testing supplies and syringes.

These services should be billed to the State of Missouri’s MO HealthNet Fee-For-Service program,using the product’s NDC on the pharmacy claim form.

Fee-For-Service Pharmacy Program coverage parameters, clinical edits and Preferred Drug List criteria may be found at the following Web sites:

http://dss.mo.gov/mhd/cs/pharmacy/pages/clinedit.htm

http://dss.mo.gov/mhd/cs/pharmacy/pages/frequpdat.htm

Providers should contact the Pharmacy Help Desk at 1-800-392-8030 with any questions or issues. The hours of operation are: Monday through Friday, 8 a.m. to 9 p.m., and Saturday and Sunday, 9 a.m. to 6 p.m.