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Providers may also contact ACS at 866-246-8505 telephone ; or 866-246-8507 fax ; to request prior authorization for these medications. The PA criteria and request form for proton pump inhibitors will be available on the North Carolina Medicaid Enhanced Pharmacy Program web site at : ncmedicaidpbm on May 18, 2007. If the PA is approved by ACS, then the POS override codes will not be needed. There are some forms being developed by the Community Care of North Carolina network to assist the physicians in this process that can also serve as a prescription. These forms are not required for this program. If you do receive these forms, please make sure that necessary information required in the physicians own handwriting is present on the form prior to dispensing a brand name proton pump inhibitor medication.
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