MedicaidPrior AuthLow impact
MAB2023062903
Pennsylvania Medicaid (DHS)·PA · Dermatology, Family Medicine, General Practice +2 more·Provider Bulletin
Effective date
Jul 10, 2023
We identified it
Jun 20, 2026
Summary
Pennsylvania Medicaid updated prior authorization requirements for topical antiparasitic medications, changing the weight requirement for lindane from 50 pounds to 50 kilograms. This affects prescriptions for non-preferred topical antiparasitics that require prior authorization through the Medical Assistance program.
Action Required
By July 10, 2023: Providers prescribing lindane must ensure patients weigh ≥50 kilograms (not 50 pounds) before submitting prior authorization requests. Update any internal protocols or documentation templates to reflect the new weight requirement. All non-preferred topical antiparasitic prescriptions still require prior authorization with documented therapeutic failure, contraindication, or intolerance to preferred medications.