Provider Manual -Please visit www.mmis.georgia.gov/portal/ and highlight the "Provider Information" tab at the top. Select "Provider Manuals" and scroll through the list of manuals at the bottom of the page until you locate "Pharmacy Services Part II."
Pharmacy Related Listings - Full listings are updated quarterly; Intra-quarterly revisions may occur more frequently.
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 www.mmis.georgia.gov/portal/ and highlight the "Pharmacy" tab on the top, right side. Then select "Other Documents".
Medicaid GMAC List - Georgia Maximum Allowable Cost List
Please visit www.mmis.georgia.gov/portal/ and click on the Pharmacy link at the top of the page.
Medicaid Rebateable Manufacturers List
Represents all participating manufacturers of drugs covered in the Medicaid Fee For Service Program.
Please visit www.mmis.georgia.gov/portal/ and highlight the "Pharmacy" tab at the top of the page. Select "Other Documents". The Participating Manufacturers file is in the list of documents at the bottom of the page.
Quantity Level Limits
This list represents the maximum quantities available per prescription, per member, per month.
Please visit www.mmis.georgia.gov/portal/ and highlight the "Pharmacy" tab at the top of the page. Select "Provider Manuals", scroll through the list of manuals at the bottom of the page until you locate "Pharmacy Services Part II."
OTHER LINKS
Forms - Pharmacy related forms. Various forms can be located in the Pharmacy Services Manual listed at www.mmis.georgia.gov. Select "Provider Information" and select "Provider Manuals", scroll through the list of manuals at the bottom of the page until you locate "Pharmacy Services Part II."
Pharmacy Assistance Programs
- Rx Outreach
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. Read more information on this. - Together RX Access
Ga. Consumer One Program
Ga. Provider Program
Banner Messages (Medicaid)
Please go to www.mmis.georgia.gov/portal/, highlight the "Pharmacy" tab on the top of the page. Select "Pharmacy Notices."
Medicare Part D
Please go to www.mmis.georgia.gov/portal/, highlight the "Pharmacy" tab on the top of the page. Select "Medicare Updates."