More pharmacy pages:

Clinical information

Information for pharmaceutical manufacturers

Oregon Health Authority pharmacy reimbursement methodology



 

 


 

 

Pharmaceutical services program

Billing information

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Makena® (17-alpha-Hydroxyprogesterone Caproate) coverage effective October 1, 2013

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:

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