Pharmacy Operations

The Louisiana Medicaid Pharmacy Benefits Management system uses state-of-the-art features to operate pharmacy claims processing in realtime for its entire Medicaid population. These features include:

• Federally approved Medicaid Management Information (MMIS) system;
• Web-based Clinical Drug Inquiry Support Application and Clinical Data Inquiry (e-CDI);
• Prospective and Retrospective Drug Utilization Review Programs; and
• Beneficiary Prescriber and/or Pharmacy Lock-in Program

The pharmacy section contracts with its fiscal intermediary, Gainwell Technologies, and the University of Louisiana at Monroe (ULM) College of Pharmacy to provide the administrative, technical and clinical support functions for the Pharmacy Operations.

Educational Tools:

Educational Articles:

The State's Medicaid provider newsletter, The Provider Update, published by the fiscal intermediary in conjunction with ULM College of Pharmacy several times a year, produces educational articles for prescribers and pharmacists on various disease states and treatment modalities.