Announcements

MMA is currently covering compound claims. All compounds must be submitted using the NCPDP version D.0 standard multi-ingredient compound functionality. Therefore, all ingredients must be identified, their units must be indicated, and the ingredient cost for each ingredient must be submitted on the claim.  

 At least one item in the compound must be a covered drug. Any component of a compound requiring PA will necessitate an approval prior to receiving payment. For additional information, refer to the Payer Specification document on the Plan Portal.  

Refer to the LA MCO Compounding Claims Submission  document  here  for more info.