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Alaska MedicaidMedicaid · Billing Codes · Billing & Coding · AK · Pharmacy, Family Medicine, General PracticeMedium impact

Billing Guidance for Paxlovid (TM) prescribed by enrolled Pharmacist Renderers Under EUA

Effective date
Jul 7, 2022
Identified
Jun 21, 2026

Summary

Alaska Medicaid now allows enrolled pharmacists to prescribe Paxlovid under FDA Emergency Use Authorization, with specific billing requirements for test-to-treat services and dispensing fees. Billing providers must formally affiliate with enrolled pharmacists and use their NPI when submitting claims for evaluation and management services.

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What to do

Action · 4 steps
01Alaska providers only: Ensure pharmacists are enrolled as rendering providers and formally affiliated with billing organizations.
02Update billing systems to use pharmacist NPIs in rendering provider field for Paxlovid prescribing services using CPT codes 99202, 99211, or 99212.
03Pharmacies must use prescribing pharmacist's NPI in NCPDP field 411-DB when dispensing.
04Do not assess patient cost-sharing for these services.

Codes mentioned

992029921199212

Original notice

Billing Guidance for Paxlovid (TM) prescribed by enrolled Pharmacist Renderers Under EUA
extranet-sp.dhss.alaska.gov · Always check the source before changing claims.
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Related policy hubs

Alaska Medicaid policiesAK policy changesPharmacyFamily MedicineGeneral PracticeCode 99202Code 99211Code 99212

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