The Pharmacy Provider Procedure Manual defines policies and procedures for Medicaid-enrolled pharmacy providers regarding outpatient pharmacy claims, including drug benefit guidance, pharmacy prior authorization, coordination of benefits, and drug pricing and reimbursement.

Chapter Revised
Introduction (PDF) May 2020
Contact Information (PDF) May 2020
Enrollment (PDF) May 2020
Managed Care (PDF) June 2019
System Requirements (PDF) May 2020
Eligibility (PDF) May 2018
Coordination of Benefits (PDF) May 2018
Drug Policy (PDF) Aug. 2020
Home Health Supplies (PDF) July 2020
Vitamins and Minerals (PDF) July 2020
Mosquito Repellent (PDF) Feb. 2020
Drug Utilization Review (PDF) May 2018
Prior Authorization (PDF) May 2018
Pricing and Reimbursement (PDF) Aug. 2020
340B Resources (PDF) Aug. 2019
Payment (PDF) May 2020
Audits (PDF) June 2019
Drug Rebates (PDF) June 2019
Forms (PDF) May 2020