Create a cozy and warm atmosphere at home with this plush velveteen blanket. It is soft to touch and perfect for any home. Customize with a one-sided print to add your personal touch or create a gift for your friends and family. Available in three sizes: 30x40", 50x60", 60x80".
Please note: Due to variations in the production process, blankets may arrive up to 3" shorter than their listed size.
.: 100% polyester (SPOKE and Printify Choice) or 83% Polyester and 17% Spandex (Miami Sublimation) .: Your print goes on one side of the blanket in high detail and vibrant color .: Medium heavy-weight fabric (8.85 oz/yd² (300 g/m²)) that feels extra soft to the touch (thickness of the fabric may slightly vary)
State Requirements
Eligible Medications: Contraceptive pills, patches, and vaginal rings.
Prescription Limitations: Up to 12 months of refills. Follow-up required after two years.
Age Restrictions: Patients must be 18 years or older.
Documentation Requirements: Maintain patient records for 7 years; comply with HIPAA regulations.
Training Requirements: Completion of state-mandated courses for prescribing and patient counseling.
Reimbursement Details
Eligibility:
Medicaid Enrollment - Confirm Medicaid Eligibility for covered contraceptive services.
Pharmacists must be licensed in Utah and enrolled as a provider with Utah Medicaid to receive reimbursement.
Pharmacists dispensing self-administered hormonal contraceptives under a standing order are eligible for an annual consultation fee reimbursement of up to $20.
Billing Codes:
Use CPT Code 99401 (preventive counseling) with FP Modifier for family planning services. Pharmacy claims for self-administered hormonal contraceptives must include one of the following diagnosis codes:
Z30.011 – Encounter for initial prescription of contraceptive pills
Z30.015 – Encounter for initial prescription of vaginal ring hormonal contraceptive
Z30.016 – Encounter for initial prescription of transdermal patch hormonal contraceptive
Dispensing Fee:
Pharmacists can receive a dispensing fee for prescriptions billed under Medicaid when using their Medicaid-registered individual NPI.
Submission Process:
Submit claims via Utah Medicaid PRISM system.
Electronic Submission: All claims must be submitted electronically using the National Council for Prescription Drug Plan (NCPDP) Version D.0 standard.
Claims are processed in real time through the point-of-sale (POS) system.
NPI Requirement: Claims must include the prescriber’s valid National Provider Identifier (NPI). Claims with incorrect or missing NPIs will be denied or subject to recoupment.
