ASAP (Adult Safety with Antipsychotic Prescribing)
N.C. Medicaid’s prior-approval policy for adults 18 years or older taking an atypical (second-generation) antipsychotic agent prescribed for an indication not approved by the federal Food and Drug Administration (FDA).
- ASAP safety monitoring targets metabolic and neurologic side-effects.
- The prescriber must hand-write “Meets PA Criteria” on the face of each new or renewal antipsychotic prescription, or else type “Meets PA Criteria” in the comment section on e-prescriptions.
- Documentation using the ASAP Prior Approval (PA) form, required for both preferred and non-preferred atypical antipsychotic agents, should be submitted to NC Tracks via the Web Portal or the appropriate Prepaid Health Plan (PHP); medication use is authorized for the length of the prescription.
- NCTracks does NOT accept faxed documentation of atypical psychotics.