Pharmacy Program

Resources

The following documents are designed to provide an overview of the Louisiana Healthcare Connections pharmacy program.

US Script

US Script, the Louisiana Healthcare Connections pharmacy benefit manager, processes pharmacy claims and administers the medication prior authorization process. The Bayou Health Pharmacy Prior Authorization Form should be used when submitting prior authorizations or medical necessity requests. Pharmacists may use US Script’s MAC Price Look-Up Tool to search MAC prices for medications by drug name or NDC number. If you do not have login credentials, please Register A New Account. Contact Information: Prior Authorization Fax: 1-866-399-0929 Prior Authorization Phone: 1-888-929-3790 Clinical Hours: Monday – Friday 9 a.m. – 7 p.m. (CST) Help Desk: 1-877-690-9330

Specialty Drug Benefit and Office Administered Drugs

Louisiana Healthcare Connections requires prior authorization for specialty medications in order for reimbursement to be issued to the provider. The List of Covered Specialty Medications is provided in the Louisiana Healthcare Connections Provider Preferred Drug List. Other Specialty Medications not listed can be requested through the Prior Authorization process. Prescribers can submit requests for specialty medications to Louisiana Healthcare Connections by filling out the Specialty Medication Prior Authorization Form. Providers who wish to dispense from office stock should refer to the Office Administered Drug Prior Authorization List for a list of medications and the process for requesting prior authorization. Prescribers can submit requests for specialty medications to Louisiana Healthcare Connections by filling out the Specialty Medication Prior Authorization Form.