Pharmacy Services
Current Information


Current List of Drug Rebate Manufacturers [73KB] Updated 3/14/12

100 Day Supply Maintenance Meds [54KB] 

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)

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] (5.1 Payer Sheet effective through December 31, 2011)

D.0. Payer Specifications [888KB] (D.0. Payer Sheet effective January 1, 2012)

Pharmacy Meeting Notices

Remittance Advice Provider Alerts Updated February 1, 2012

SMAC $ is all inclusive - Effective May 2, 2012 - Questions about this data? – Email Ray.Aldridge@AHCA.myflorida.com or Call (850) 412-4151 Updated May 4, 2012.

MAC Pricing Request Form

Summary of Drug Limitations [291KB] Updated April 30, 2012 






Reporting Medicaid Fraud