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

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

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

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

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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Professional Organizations Push for Recall of Buprenorphine Dental Warning – February 2022

On January 24, 2022, a letter from the American Society of Addiction Medicine (ASAM) and ten other health professional associations called for the FDA to immediately and fully retract their Drug Safety Communication on dental problems associated with buprenorphine, which was based on 305 reported cases of dental problems since 2002. The authors note that nearly 2.4 [...]

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Improving the Quality of Care: Legislative Impact on the Use of Naloxone

Date: January 3, 2022 To: All Pharmacies Provider Alert Type: Informational/Educational From: Health Plan of San Joaquin Subject: Improving the Quality of Care: Legislative Impact on the Use of Naloxone Business: Medi-Cal Download Attachment PDFExcelWordZipPowerpointImageMP3CloseBy DateBy NameBy TypeCloseShow all files Jan 3rd, 2022 Improving the Quality of Care-Legislative Impact on the Use of Naloxone Next [...]

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Medi-Cal Rx PBM Information

Date: December 29, 2021 To: All Pharmacies Provider Alert Type: Informational From: Health Plan of San Joaquin Subject: Medi-Cal Rx PBM Information Business: Medi-Cal Beginning January 1, 2022, Health Plan of San Joaquin pharmacy benefits will be transitioned to and administered by the new California State agency, Medi-Cal Rx. Medi Cal Rx is responsible for [...]

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Irbesartan & Irbesartan/Hctz Recall – IMMEDIATE ACTION NEEDED

Date: October 21, 2021 To: Health Plan of San Joaquin (HPSJ) Pharmacies and Providers & Practices From: HPSJ Pharmacy Department Subject: Irbesartan & Irbesartan/Hctz Recall - IMMEDIATE ACTION NEEDED Business: Medi-Cal Managed Care We are sending this alert because you may have one or more patients who filled a prescription for Irbesartan Tablets or Irbesartan/Hydrochlorothiazide [...]

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2021 Immunization Updates: COVID-19, Influenza, and Meningococcal Disease

Each year, the California Medi-Cal Drug Use Review (DUR) program issues an annual summary of updates on immunization guidelines, products, and/or research in collaboration with the California Department of Public Health (CDPH) Immunization Branch. For reference, the recommended immunization schedules for 2021 in the United States can be accessed on the Centers for Disease Control […]

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