More pharmacy pages:

Clinical information

Information for pharmaceutical manufacturers

Oregon Health Authority pharmacy reimbursement methodology



 

 


 

 

PLEASE NOTE: DMAP policies have moved to the OHA website. Please update your bookmarks or favorites with this change. This page will no longer be available after August 30, 2014.

 

Pharmaceutical services program

Billing information

You need the free Adobe Reader to view PDF documents. If you do not already have Adobe Reader 6.0 or higher on your computer, you can download it now.


General resources

Point of sale resources

Oregon Medicaid Payer Sheet (pdf) - To bill DMAP using point of sale (POS), make sure your system meets the payer-specific requirements in this sheet.

Pricing information

Actual Average Acquisition Cost Reimbursement (link) - This page provides information on the new way the Oregon Health Authority reimburses pharmacies for Medicaid fee-for-service prescriptions, including:

Federal Upper Limits - For more information, see OAR 410-121-0300. For the latest information about Federal Upper Limit (FUL) pricing, go to the CMS Federal Upper Limits Web page.

Coverage information

See DMAP's Frequently-asked questions about drug pricing and reimbursement, and the following links:

Back to top