Medicaid Provider Information
Pharmacy Providers
- Medicaid Provider ID Numbers (December 2007) (270 kb pdf)
- Manufacturer Participants (April 2005) (41kb pdf)
- ND Medicaid CMS-1500 Claim Form Billing Instructions (190kb pdf)
- ND Medicaid CMS-1500 Claim Form Billing Example (329kb pdf)
- Pharmacy Provider Manual (October 2008) (206 kb pdf)
- Pharmacy Memorandums
- Forms
- Links
- Drug Utilization Review Board
- Medication Prior Authorization Program
- DME Fee Schedules
- Quantity Limits (September 2008 (60kb pdf)
- Payer Sheets (Specifications for on-line claims processing/NCPDP)
- Tamper Resistant Prescription Pads - Physician, Pharmacy and Recipient/Patient Information
If you have pharmacy questions, you may e-mail them to dhsmed@nd.gov. If you have pharmacy billing questions, please contact provider relations at (701) 328-4030.
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