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Pharmacy
Pharmacy Benefits Program/Prime Therapeutics Management, LLC.
Pharmacy benefits for fee-for-service programs for Medicaid, Healthy Michigan Plan, MIChild, Maternity Outpatient Medical Services (MOMS), and Children's Special Health Care Services. The D.0 Pharmacy Claims Processing Manual, Michigan Pharmaceuticals Products List (MPPL), Preferred Drug List (PDL), Maximum Allowable Cost (MAC) pricing information, and other information are available on this site.
Ingredient Cost Payment Limits Professional Dispensing Fees
(claims on and after 4/1/17) (claims on and after 4/1/17)
Product Cost Payment Limits (claims through 3/31/17) Drug Dispensing Fees (claims through 3/31/17)
2016 MDHHS Survey of the Average Cost of Dispensing a Medicaid Prescription in the State of Michigan
Conditions for Medication Therapy Management (MTM) Benefit Eligibility