Centers for Medicare and Medicaid Services Contacts
CMS Drug Pricing Contact
For Medicaid fee-for-service pricing inquiries, contact CMS. HHSC no longer uses the maximum allowable cost (MAC).
Telephone
855-457-5264
Fax
844-860-0236
Pharmacy providers are encouraged to fax a copy of the manufacturer's invoice
Website
medicaid.gov/medicaid/prescription-drugs/retail-price-survey/
Pharmacy providers should use the NADAC Request for Medicaid Reimbursement Review (PDF) to submit NADAC pricing inquiries. You must complete all fields for proper submission of this form. Do not include personal health information on your submitted form or invoice.
CMS National Plan and Provider Enumeration System Contact
National Plan and Provider Enumeration System (NPPES)
- National Provider Identifier (NPI) Registration
- NPI Search
Texas Pharmacy Association: Instructions for Pharmacists to Apply for a NPI (PDF) (Dec. 2020)