Coverage & Reimbursement
Welcome to the Coverage & Reimbursement page for the Utah Medicaid Pharmacy Program. Come back often to browse our library of Medicaid Coverage & Reimbursement Policy Manuals and bulletins.
Utah MAC (Maximum Allowable Cost) Update:
Utah Medicaid has contracted with Goold Health Systems (GHS) to set and maintain state MAC pricing. Pharmacy providers may contact GHS if they find MAC prices are set below acquisition costs after discounts are factored in. The GHS MAC Helpdesk can be reached by telephone at 855-389-9505 or by fax at 877-920-1069. The helpdesk is available Monday through Friday from 8-5.Click here to view Utah 100% Survey
The documents are provided in Adobe format. If you cannot view a file, please download the free plug-in from the link below.Click here to view current Medicaid Provider Manuals
Click here to view current Medicaid Information Bulletins (MIBs)