Update to Pharmacy Lock-In Criteria

Effective April 25, 2021, in accordance with NC Legislation General Statutes § 108A-68.2.(e), NCTracks will implement an update to the pharmacy lock-in criteria for opiates, benzodiazepines and certain anxiolytics. This update will change the number of prescriptions and number of prescribers used in the criteria for selecting beneficiaries for the Lock-In Program.

The system will lock-in a beneficiary to one provider prescriber and one pharmacy when a beneficiary meets one or more of the following criteria:

• There have been six or more claims in two consecutive months for benzodiazepines and certain anxiolytics 
• There have been six or more claims in two consecutive months for opiates
• There are claims indicating that the beneficiary is receiving prescriptions from three or more prescribers in two consecutive months for opiates and/or benzodiazepines and certain anxiolytics

 

 

 

 

 

 

 

 

 

 

 

M21084-R-2285