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Updated Guidance by the CDC and FDA for Prescribing Opioids – June 2023

July 14, 2023 / by Health Plan / Pharmacy Announcements

Maximize the use of nonopioid therapies when possible and only consider opioids if the benefits of therapy are expected to outweigh the risks. Many nonopioid therapies (including nonpharmacological interventions) are at least as effective as opioids for common types of acute pain. Before starting opioids for pain, establish realistic treatment goals and discuss a plan [...]

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Clinical Review: Management of Acute Postpartum Pain

May 11, 2023 / by Health Plan / Pharmacy Announcements

Racial and ethnic disparities are prevalent in maternal care, and improving health equity has been identified as a priority focus for the Medi-Cal program. ACOG recommends shared decision-making using a stepwise, multimodal approach that includes acetaminophen and non-steroidal anti-inflammatory drugs (NSAIDs) as first-line analgesics, especially for individuals who are breastfeeding. If first-line options do not [...]

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Medi-Cal Pharmacy (Rx) Update – Rejection Code 816

December 1, 2022 / by Health Plan / Alerts, Pharmacy Announcements

Date: December 1, 2022 To: Health Plan of San Joaquin (HPSJ) Practitioners and Facilities From: Health Plan of San Joaquin (HPSJ) Type: Informational/Educational Subject: Medi-Cal Pharmacy (Rx) Update – REJECTION CODE 816 Business: Medi-Cal Outpatient pharmacy benefits were transitioned to Medi-Cal Rx on 1-1-2022. Due to the benefit transitioning, some medications are paid for by [...]

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Submitting Quality Data to the California Immunization Registry (CAIR2) – May 2022

May 26, 2022 / by Health Plan / Pharmacy Announcements

The California Immunization Registry (CAIR2) is a secure web-based platform that allows providers and organizations to track patient immunization and tuberculosis records. The CAIR2 aims to improve vaccination rates, minimize missed immunization opportunities, and prevent administration of duplicate immunizations. Patient-specific and aggregate reports in the CAIR2 system allow for accurate assessment of vaccination coverage rates [...]

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