Medicaid Pharmacy Services

MEDICAID PHARMACY SERVICES MISSION STATEMENT
To ensure Florida Medicaid recipients are provided access to medication that is clinically and economically effective, and produces the desired medical outcome.

Welcome to the Medicaid Pharmacy Services site.

Medicaid Pharmacy Services is responsible for managing the prescribed drug program for the Fee for Service Florida Medicaid Program.

Florida Medicaid Preferred Drug Program

  • Preferred Drug List
  • Drug Criteria
  • Prior Authorization Requirements and Forms
  • Florida Medicaid Prescribed Drug Services Handbook (June 2012)
  • Hernandez Settlement Agreement (to reorder pamphlets and signs)
  • Pharmaceutical and Therapeutics Committee
  • Provider Synergies


Pharmacy Services Resource Information

  • Current List of Drug Rebate Manufacturers
  • 100 Day Supply Maintenance Meds
  • Counterfeit-proof Prescription Blank Program
  • Dispensing Requirements for Dade, Broward, Monroe, and Palm Beach counties
  • Diverted Pharmaceuticals Program
  • Medicaid Recipient Lock-in Program
  • Provider Alerts
  • Pharmacy Meeting Notices
  • Ombudsman Information and Request for Multi-Source Brand Drug Form
  • Payer Specifications
  • State MAC Pricing
  • Summary of Drug Limitations

Behavioral Health Medication Management Resources

  • Psychotherapeutic Medication Legislation
  • Florida Medicaid Drug Therapy Management Program for Behavioral Health
  • Florida Pediatric Psychiatry Consult Hotline
  • Substance Abuse and Mental Health Services Administration, SAMHSA 
  • Adverse Event Reporting, Food and Drug Administration, FDA

Drug Utilization Review

  • Drug Utilization Review Board

Reports and Presentations

  • Prescriber File
  • Medicaid Annual Spending Control Reports
  • Medicaid Quarterly Spending Control Reports
  • Medicaid Rebate Briefing

Pharmacy Meeting Notices

  • Pharmaceutical and Therapeutics Committee
  • Drug Utilization Review Board

Durable Medical Equipment (DME)

  • Pharmacy Items Transferred to Durable Medical Equipment (DME)

If you have questions regarding Medicaid Pharmacy Services, please see the current Prescribed Drug Services Coverage, Limitations and Reimbursement Handbook or call 850-412-4166.





Reporting Medicaid Fraud