Adult Safety with Antipsychotic Prescribing

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 form, required for both preferred and non-preferred atypical antipsychotic agents, should be submitted through the NCTracks Web Portal, or by calling 1-866-246-8505; medication use is authorized for the length of the prescription.
    • NCTracks does NOT accept faxed documentation of atypical psychotics.