Date
MO HealthNet does not require a prior authorization for opioid prescriptions less than 50 MME per day. Please note, for patients who have not filled an opioid through MO HealthNet in the past 90 days, the pharmacy will still need to run a 7-day fill prior to a full 30-day prescription, regardless of the MME.
MO HealthNet covers the continuous glucose monitor (CGM) Dexcom without prior authorization for ALL participants prescribed a daily regimen of rapid-acting or short-acting insulin. MO HealthNet auto-approves the Dexcom CGM at the pharmacy if the participant has filled rapid or short-acting insulin within the past 45 days. MO HealthNet requires no additional paperwork from your office to cover the Dexcom GCM for eligible participants.