Pharmacy

The Louisiana Department of Health pharmacy services are included as a benefit in managed care. Pharmacy services remain in legacy Medicaid for recipients not enrolled in managed care. Pharmacy provider relations support for legacy Medicaid is handled by the Medicaid fiscal intermediary, Gainwell Technologies.  For questions or concerns please email LDH pharmacy staff at PharmacyMedicaid@la.gov.

Louisiana Medicaid Single Preferred Drug List (PDL)

Pharmacy Resources

Pharmacy Facts

Pharmacy News

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Contacts 

Questions can be directed by plan as follows:

 

Aetna Better Health

AmeriHealth Caritas

Healthy Blue

Humana Healthy Horizons in Louisiana

Louisiana Healthcare Connections

UnitedHealthcare Community Plan

General Provider Issues-call Provider Relations

1-855-242-0802

1-888-756-0004

1-844-521-6942

1-800-448-3810

1-866-595-8133

1-866-675-1607

Member with Issues – call Member Services

1-855-242-0802

1-888-756-0004

1-844-521-6941

1-800-448-3810

1-866-595-8133

1-866-675-1607

Claims/Billing Issues – Call Pharmacy Helpdesk

1-800-424-1664 for all MCOs.

Pharmacy Contracting Issues

1-800-424-1664 for all MCOs.

Pharmacy Billing Information

(DOS prior to 10/28/2023)

BIN: 610591
PCN: ADV
Group: RX8834

BIN: 019595
PCN: 06030000

BIN: 020107
PCN: FG
Group: WKLA

BIN: 610514
PCN: LOUIPROD
Group: HUMANA

BIN: 004336
PCN: MCAIDADV
Group: RX5444

BIN: 610494
PCN: 9999
Group: ACULA

Pharmacy Billing Information

(DOS 10/28/23 forward)

BIN: 025986
PCN: 1214172240
GROUP: LAMCOPBM

 

Medical PA requests/ inquiries for provider- administered drugs

 

Phone:
1-800-684-5502

 

Fax:
1-855-452-9131

 

 

 

 

 

Fee For Service

  • General Provider Issues - Call Provider Relations - 1-800-473-2783
  • Pharmacy Contracting Issues - Call Gainwell Technologies Provider Enrollment - 1-225-216-6370
  • Pharmacy Credentialing - Call Gainwell Technologies Provider Enrollment - 1-225-216-6370
  • Pharmacy Claims/Billing Issues - Call POS Help Desk - 1-800-648-0790 or 225-216-6381
  • Pharmacy Billing Information -  Call POS Help Desk - 1-800-648-0790 or 225-216-6381
    • BIN: 610514 
    • PCN: LOUIPROD
    • Group: n/a
  • Provider Enrollment Portal Issue -  Call: 1-833-641-2140 or email:  LouisianaProvEnroll@gainwelltechnologies.com

Any other pharmacy-related questions can be directed to the Medicaid Pharmacy Program at 1-800-437-9101. 

Providers can also submit questions by email to healthy@la.gov, and the appropriate staff will address any issues or concerns. Staff are typically able to respond within one business day.

Pharmacists and prescribing providers are strongly encouraged to review Informational Bulletins pertaining to the pharmacy integration.

RELATED INFO

 

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