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Medicaid State MAC Lists (SMAC)

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Each state has different Medicare drug reimbursement methodologies which can be found here: https://www.medicaid.gov/medicaid/prescription-drugs/state-prescription-drug-resources/drug-reimbursement-information/index.html

Below is where you can find each state’s SMAC.

StateWebsite
Alabama
Alaska
ArizonaN/A – Arizona does not use a SMAC list
Arkansas
California
ColoradoN/A – Colorado does not use a SMAC list
Connecticut
Delaware
Florida http://ahca.myflorida.com/medicaid/Prescribed_Drug/smac.shtml
Georgia https://www.mmis.georgia.gov/portal/PubAccess.Pharmacy/GMAC%20List/tabId/86/Default.aspx
Hawaii
Idaho
Illinoishttp://www.ilsmac.com/list
Indiana https://inm.providerportal.catamaranrx.com/providerportal/faces/PreLogin.jsp
Iowa
Kansas
Kentucky
Louisiana
Maine http://www.mainecarepdl.org/smac-lists
Maryland Transitioned to AAC.  No longer published – https://mmcp.health.maryland.gov/pap/docs/Reimbursement%20Methodology%20new.pdf
Massachusetts
Michigan https://michigan.fhsc.com/MAC/MacInfo.asp
Minnesota You must submit a research form for access.  https://edocs.dhs.state.mn.us/lfserver/Public/DHS-6406-ENG
Mississippi N/A – Mississippi does not use a SMAC list
Missouri https://dss.mo.gov/mhd/cs/pharmacy/pages/mac.htm
Montana Montana uses AAC pricing- http://dphhs.mt.gov/Default.aspx?tabId=22401
Nebraska You must submit a research form for access.  http://dhhs.ne.gov/medicaid/Documents/pb1304.pdf
Nevada https://www.medicaid.nv.gov/providers/rx/MACinfo.aspx
New Hampshire You must submit a research form for access.  https://nhcontent.magellanmedicaid.com/Downloads/provider/NHRx_MAC_Price_Research_Request_Form.pdf
New Jersey
New Mexico
New York https://newyork.fhsc.com/providers/smacinfo.asp
North Carolina
North Dakota https://dma.ncdhhs.gov/documents/smac-list
Ohio https://pharmacy.medicaid.ohio.gov/mac-information
Oklahoma
Oregon N/A – Oregon does not use a SMAC list
Pennsylvania http://www.dhs.pa.gov/provider/pharmacyservices/statemaclist/
Rhode Island http://www.eohhs.ri.gov/ProvidersPartners/GeneralInformation/ProviderDirectories/Pharmacy/RIStateMaximumAllowableCostMACList.aspx
South Carolina http://southcarolina.fhsc.com/Downloads/provider/MAC/SCRx_MAC_listing.pdf
South Dakota
Tennessee https://tenncare.magellanhealth.com/static/docs/MAC_Specialty_Pricing/TNCoverRx_MAC_List.pdf
Texas
Utah Use NADAC – https://medicaid.utah.gov/pharmacy/utah-mac-maximum-allowable-cost
Vermont
Virginia N/A – Virginia does not use a SMAC list
Washington
West Virginia https://dhhr.wv.gov/bms/BMS%20Pharmacy/SMAC/Pages/default.aspx
Wisconsin
Wyoming http://www.wymedicaid.org/smac

 

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