NYS Medicaid Pharmacy Prior Authorization Programs

Maximum Allowable Cost (MAC) Information

You will need Adobe® Reader to view any printable PDF document(s).
Click the button to the left to download a free copy of Adobe® Reader.

Information for Pharmacists - SMAC Program

NYS Medicaid pharmacy providers can request for a SMAC price review. Pharmacy providers may submit a SMAC Price Research Request form located below along with a copy of the invoice listing the current acquisition cost for the product(s) in question to Magellan Medicaid Administration via fax (888-656-1951) or email (StateMACProgram@MagellanHealth.com).

Title
Title
New York Medicaid SMAC Updates List - Posted 8/7/2017
New York Medicaid SMAC Price Research Request Form

The New York Medicaid SMAC prices are occasionally overridden by other factors in the New York Medicaid reimbursement algorithm. Current prices for all covered NDCs can be found at the New York Formulary File website http://www.emedny.org/info/formfile.html.