MedicaidAdministrativeLow impact
MAB2020110905
Pennsylvania Medicaid (DHS)·PA · Pharmacy·Provider Bulletin
Effective date
Jan 5, 2021
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance is renaming the 'Iron, Oral' drug class to 'Hematopoietic Mixtures' effective January 5, 2021. This is a terminology change only - no changes to prior authorization requirements, medical necessity guidelines, or billing procedures.
Action Required
By January 5, 2021: Update any internal documentation, billing software drug class references, or staff training materials to reflect the new terminology 'Hematopoietic Mixtures' instead of 'Iron, Oral' for Pennsylvania Medical Assistance prior authorization requests. No changes to actual billing procedures or prior auth requirements are needed.