Document For Safety

Contact Us

For technical assistance, please call provider support at 855-272-6576 (local: 919-657-8843).

Technical staff is available Monday through Friday 8am to 5pm to assist with provider registration, user ID/password issues, patient look up, and other registry functions.

Click here to submit an after hours question that will be answered the next business day or to submit feedback on the web-based programs available through Document For Safety.

For concerns related to NC Medicaid policies that support the Document For Safety programs, contact the North Carolina Division of Medical Assistance.

North Carolina Division of Medical Assistance
Outpatient Pharmacy Program
1985 Umstead Dr
Raleigh, NC 27603-2001

Telephone: (919) 855-4300

A+KIDS

Contact Us

For technical assistance, please call provider support at 855-272-6576 (local: 919-657-8843).

Technical staff is available Monday through Friday 8am to 5pm to assist with provider registration, user ID/password issues, patient look up, and other registry functions.

Click here to submit an after hours question that will be answered the next business day or to submit feedback on the A+KIDS registry.

For concerns related to the Off Label Antipsychotic Monitoring in Recipients Through Age 17 or Off Label Antipsychotic Safety Monitoring in Health Choice Recipients policies, please contact the North Carolina Division of Medical Assistance.

North Carolina Division of Medical Assistance
Outpatient Pharmacy Program
1985 Umstead Dr
Raleigh, NC 27603-2001

Telephone: (919) 855-4300

ASAP

Contact Us

Prior authorization may be obtained by two methods: 1) completing the ASAP Fax Form found here and faxing it to ACS at 866-246-8507, or 2) calling ACS at 866-246-8505 to obtain authorization over the phone.

For concerns related to the Off Label Antipsychotic Safety Monitoring in Recipients 18 and Older policy, please contact the North Carolina Division of Medical Assistance.

North Carolina Division of Medical Assistance
Outpatient Pharmacy Program
1985 Umstead Dr
Raleigh, NC 27603-2001

Telephone: (919) 855-4300

BRANDS

Contact Us

For technical assistance, please call provider support at 855-272-6576 (local: 919-657-8843).

Technical staff is available Monday through Friday 8am to 5pm to assist with provider registration, user ID/password issues, patient look up, and other registry functions.

Click here to submit an after hours question that will be answered the next business day or to submit feedback on the BRANDS application.

For concerns related to the Brand Name Drugs (DAW-1) Prior Authorization policy, please contact the North Carolina Division of Medical Assistance.

North Carolina Division of Medical Assistance
Outpatient Pharmacy Program
1985 Umstead Dr
Raleigh, NC 27603-2001

Telephone: (919) 855-4300

Synagis

Contact Us

For technical assistance, please call provider support at 855-272-6576 (local: 919-657-8843).

Technical staff is available Monday through Friday 8am to 5pm to assist with provider registration, user ID/password issues, patient look up, and other registry functions.

Click here to submit questions or feedback on the Synagis Program. Submissions after 5pm will be answered the next business day.

Contact Medicaid at 919-855-4300 for concerns related to the policy or the electronic prior authorization process.

North Carolina Division of Medical Assistance
Outpatient Pharmacy Program
1985 Umstead Dr
Raleigh, NC 27603-2001

Telephone: (919) 855-4300

Document For Safety

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