MedicaidAdministrativeMedium impact
Leukotriene Inhibitor Edit Change
Missouri Medicaid (MO HealthNet)·MO · Family Medicine, Internal Medicine, Pediatrics +2 more·Provider Notice
Effective date
Jul 1, 2021
We identified it
Jun 20, 2026
Summary
Starting July 1, 2021, MO HealthNet (Missouri Medicaid) requires manual pharmacy review for montelukast prescriptions when patients have a history of suicidal thoughts, actions, or neuropsychiatric events due to new FDA black box warning. Healthcare providers must counsel patients about mental health side effects and advise immediate discontinuation if symptoms develop.
Action Required
By July 1, 2021: Providers must screen MO HealthNet patients for history of suicidal thoughts, actions, or neuropsychiatric events before prescribing montelukast. Document patient counseling about mental health risks in medical records. Alert patients to discontinue medication and contact provider immediately if neuropsychiatric symptoms develop. Note that pharmacy will conduct manual review for flagged patients.