Pharmacy Services
Current Information
Current List of Drug Rebate Manufacturers [74KB MS Excel] Updated 5/20/2013
100 Day Supply Maintenance Meds [54KB MS Excel]
Counterfeit-proof Prescription Blank Program
Dispensing Requirements for Dade, Broward, Monroe, and Palm Beach counties
Diverted Pharmaceuticals Program
Drug Efficacy Study Implementation (DESI) 5 Drug List - (Not reimbursed by Florida Medicaid) [40KB MS Excel]
The DESI 5 value denotes that for all indications the DESI drug lacks substantial evidence of effectiveness (less than effective [LTE]) and is subject by the FDA to a Notice of Opportunity for Hearing (NOOH). The DESI 5 value may also indicate that the drug is identical, related, or similar (IRS) to a DESI drug.
Medicaid Recipient Lock-in Program
Ombudsman Information and Request for Multi-Source Brand Drugs Form
5.1 Payer Specifications [161KB PDF] (5.1 Payer Sheet effective through December 31, 2011)
D.0. Payer Specifications [888KB PDF] (D.0. Payer Sheet effective January 1, 2012)
Remittance Advice Provider Alerts
SMAC $ is all inclusive [322KB MS Excel] - Effective May 30, 2013 - Questions about this data? – Email Ray.Aldridge@AHCA.myflorida.com or Call (850) 412-4151 Updated June 3, 2013
SMAC Pricing Request Form [39KB PDF]
Summary of Drug Limitations [196KB PDF] Updated 5/31/2013
