Medicaid

Provider Memo: Fee for Service Medicaid Educational Alert for Morphine Milligram Equivalence Limit at Point of Sale

Effective May 1, 2017, the Louisiana Department of Health Pharmacy Program in conjunction with the Louisiana Medicaid Drug Utilization Review Board will issue an educational alert at Point of Sale for pharmacy claims exceeding the established Morphine Equivalent Dose. Opioid prescription drugs will be converted to a Morphine Milligram Equivalence. Opioid products will be subject to a daily limit 120 MME per day. In addition, the recipient’s opioid claim history will be subject to a cumulative limit of opioid therapy of 3600 MME per rolling 30 days.

Read the complete LDH memo here.