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MedicaidCoverageLow impact

Opioid Reversal Agents

Missouri Medicaid (MO HealthNet)·MO · Family Medicine, Internal Medicine, Emergency Medicine +1 more·Provider Notice
Effective date
Jul 9, 2024
We identified it
Jun 20, 2026
Days to comply

Summary

Missouri HealthNet (Medicaid) participants now have zero copays on naloxone (opioid reversal agent) prescriptions. Pharmacists can dispense naloxone under a statewide standing order without requiring a doctor visit.

Action Required

Action needed
Immediately: Billing team should verify that naloxone prescriptions for Missouri HealthNet participants are processed with zero copay. Update patient copay calculations in billing system for naloxone dispensing to Missouri Medicaid patients.