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Michigan Department of Community Health Medicaid program

MAC Pricing • MAC Information

MAC Information

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Title Last Modified
Title Last Modified
MAC Price Research Request Form #1 (claims-specific information requested) 09/05/2013
MAC Price Research Request Form #2 (no claims-specific information required) 09/04/2013
MAC Pricing Request Form 10/03/2012
MAC Pricing Frequently Asked Questions 09/04/2013
MAC Listing (Effective 4/1/2014 - 4/30/2014) 04/09/2014
MAC Listing (Weekly Changes) 04/24/2014
Drug Lookup - for MAC pricing not available
Clotting Factor MAC Pricing (Effective 4/1/2014 - 4/30/2014) 04/09/2014

The Michigan Department of Community Health has a separate review process for Clotting Factor MAC prices and as a result the Clotting Factor MAC List is posted separately. Click on the link above to access the current list.

CLOTTING FACTOR PRICE REVIEW REQUESTS: If an enrolled pharmacy feels reimbursement of clotting factor is inadequate, a request to review the price - including a copy of invoice showing acquisition costs - may be submitted to or faxed to Magellan Health Services at (888) 656-1951. If a price adjustment is warranted, the price effective date may be backdated no earlier than the date the request for review was received.

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