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New Single PBM for Louisiana Medicaid Health Plans This Fall

Date: 09/28/23

Louisiana Medicaid is switching to Magellan Medicaid Administration as the single pharmacy benefit manager (PBM) for all Medicaid managed care members. This transition was originally scheduled for October 1, 2023, but has been briefly delayed. Watch for notices from LDH and managed care organizations (MCOs) as the new single PBM go-live date approaches.

All Medicaid MCO members have been issued new member ID cards with updated PBM details. During the transition, some Medicaid MCO members may present ID cards with new or old PBM information. Continue to use the MCO’s unique PBM codes until further notice. Reference the chart below for the correct PBM information for each Medicaid MCO patient you see.    

Before the single PBM transition, each MCO’s unique PBM codes are:
 RxBINRxPCNRxGRP

Aetna Better Health LA

610591

ADV

RX8834

AmeriHealth Caritas of LA

019595

06030000

 

Healthy Blue

020107

FG

WKLA

Humana Healthy Horizons in LA

610514

LOUIPROD

HUMANA

LA Healthcare Connections

004336

MCAIDADV

RX5444

United Healthcare Community Plan

610494

9999

ACULA


After the transition, all Medicaid MCOs will use the same Magellan PBM codes:
 

RxBIN

RxPCN

RxGRP

Magellan Medicaid Administration

025986

1214172240

LAMCOPBM

Magellan Pharmacy Help: 1-800-424-1664 (TTY: 711) | www.lamcopbmpharmacy.com