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Effective February 1, 2021, the dispensing fee policy for maintenance medications changed from paying each time the maintenance medication is dispensed to allowing only one dispensing fee every 25 days for a participant receiving the same strength and dosage form of the maintenance medication. This change allows long-term care pharmacies to submit claims in real-time according to their cycle fill schedule. MO Health Net requires all prior authorization and overrides to be obtained prior to dispensing and will no longer backdate approvals for pharmacies who fail to obtain approvals before dispensing.