MedicaidPrior AuthLow impact
MAB2020110602
Pennsylvania Medicaid (DHS)·PA · Family Medicine, Internal Medicine, Neurology +2 more·Provider Bulletin
Effective date
Jan 5, 2021
We identified it
Jun 20, 2026
Summary
Pennsylvania Medical Assistance (Medicaid) updated prior authorization guidelines for non-opioid barbiturate combination analgesics, removing carisoprodol from urine drug screen requirements and updating formatting. All other medical necessity criteria remain unchanged.
Action Required
By January 5, 2021: Pharmacy and prescribing staff should review updated prior authorization guidelines for analgesics containing barbiturates but not opioids. Note that carisoprodol is no longer included in urine drug screen requirements for patients with substance use history. All other prior authorization criteria remain the same.