Pharmacy Links
Provider Manual - Click here and select the "provider information" tab to view the current Medicaid provider manual list on the GHP web site.
Pharmacy Related Listings - Full Listings updated quarterly; Intra quarterly revisions may occur
DESI – Design Efficacy Study Implementation
A DESI drug is any drug that lacks substantial evidence of effectiveness and is subject by the FDA to a Notice of Opportunity for Hearing. Georgia Medicaid does not cover DESI 5 & 6 category drugs.Please visit the GHP Web site and select Provider Information, then Pharmacy Overview, then "view full DESI list" in the Pharmacy Services box.
Medicaid GMAC List – Georgia Maximum Allowable Cost List
Please visit the GHP Web site and select Provider Information, then Pharmacy Overview, then "view full GMAC list" in the Pharmacy Services box.
Medicaid Rebateable Manufacturers List
Represents all participating manufacturers of drugs covered in the Medicaid Fee For Service ProgramPlease visit the GHP Web site and select Provider Information, then Pharmacy Overview, then "view full Medicaid Rebateable Manufacturers list" in the Pharmacy Services box.
Quantity Level Limits
This list represents the maximum quantities available per prescription, per member, per month.Please visit the GHP Web site, click on the “provider information” tab, then in the box titled Medicaid Provider Manuals click on “view full text” and then select “pharmacy services” from the list provided. The quantity level limits are in Appendix B of the document.
OTHER LINKS
Forms – Pharmacy related forms
Various forms can be located in the Pharmacy Services Manual listed at this link. Select "Provider Information" then "Medicaid Manuals" to locate the Pharmacy Services Manual.
Pharmacy Assistance Programs
RX Outreach is an easy and affordable way for people of all ages to get medicines they need. Through this program, people who qualify financially can get medications that treat a wide range of conditions including diabetes, asthma, heart disease, and depression.
People may take advantage of the program even if they receive medicines through another discount program. The program is available to individuals and families with incomes of up to 250 percent of the federal poverty level. For a family of four, this figure is about $48,000 per year. For more information, click here.
Banner Messages (Medicaid)
To locate the banner message please go to this link, select "Provider Information >> Banner Information >> view full List >> from the Banner Messages box, then select the date or topic of interest from the list provided.
Medicare Part D
Click here and select "Provider Information" then Pharmacy Overview >>Medicare Part D.