Provider Manuals > Free Standing or Hospital Based Ordered Ambulatory

Free Standing or Hospital Based Ordered Ambulatory Manual

Manual Contents

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Participating Drug Companies for Medicaid Drug Rebate Program

Click here for the list of Medicaid Drug Rebate Program Participating Drug Companies

The list of participating drug companies provides a tool for practitioners to identify drug labelers/vendors that participate in the Medicaid Drug Rebate Program. Please note that the first 5 digits of the National Drug Code (NDC) represent the labeler/vendor. If the labeler code is not on this list, the labeler's drug is not reimbursable by Medicaid. Please refer to this list periodically, as the list of covered labelers/vendors is continually being updated. For billing and reimbursement of practitioner administered drugs, refer to your Provider Manual Procedure Code and Fee Schedule sections for Drugs, and Provider Communications, listed above.

Formulary File

Medicaid Pharmacy List of Reimbursable Drugs (Formulary File)

As a reference tool for pharmacies and prescribers, the Formulary File contains prescription and over the counter drugs, as well as glucometer and home blood glucose test strip products, covered through the Pharmacy benefit. For billing and reimbursement of practitioner administered drugs, refer your Provider Manual Procedure Code and Fee Schedule sections for Drugs, and Provider Communications, listed above.