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Pricing List

The files below include the Georgia Maximum Allowable Cost (GMAC) and Select Specialty Pharmacy Rates (SSPR) which identifies the maximum reimbursement for each product. Products listed will be reimbursed at the GMAC or SSPR unless the prescriber receives prior approval for the brand name drug.

 

Including a product on the GMAC or SSPR list does not constitute automatic coverage for all recipients. For instance, Niacin and Vitamin B with C are covered only for patients with end stage renal disease.

 

For procedural questions, contact Catamaran Technical Assistance Help Desk at (866) 525-5826.

 

NOTE: This list is for the Medicaid program and is not the preferred drug list for the State Health Benefit Plan or the Board of Regents Health Plan pharmacy programs.

Obtaining the New Price for Previously Paid Claims

Please reverse and resubmit affected claims in order to be reimbursed at a higher pricing level. Reprocessed claim adjustments can be seen in upcoming remittance advices. For procedural questions, contact Catamaran Technical Assistance Help Desk at (866) 525-5826.

 

Please share this information with appropriate staff. If you are the corporate office of a chain pharmacy, please provide this information to each of your stores located in Georgia. If you have additional questions or concerns regarding this notification, please contact Pharmacy Services at (404) 656-4044.

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Pricing List (more than 150 available) List
 
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Pricing List (more than 150 available)

 
 TitleFile TypeCategorySize (KB)Release Date 
GMAC List - 4Q2020 (Effective 10.01.2020)PDFGMAC LIST927.510/01/2020 
Select Specialty Pharmacy Rates - Revised 10.01.2020PDFSSPR1880.110/01/2020 
GMAC List - 3Q2020 (Effective 07.01.2020)PDFGMAC LIST92507/01/2020 
Select Specialty Pharmacy Rates - Revised 07.01.2020PDFSSPR1754.607/01/2020 
GMAC Suspensions - Effective 04.10.2020PDFGMAC LIST6.904/10/2020 
GMAC List - 2Q2020 (Effective 04.01.2020)PDFGMAC LIST598.504/01/2020 
Select Specialty Pharmacy Rates - Revised 04.01.2020PDFSSPR1647.104/01/2020 
GMAC Suspensions - Effective 01.13.20PDFGMAC SUSPENSIONS701/21/2020 
Select Specialty Pharmacy Rates - revised 01.01.20PDFSSPR2279.301/21/2020 
GMAC List - 1Q2020 (Effective 01.01.2020)PDFGMAC LIST614.101/01/2020 
GMAC List - 4Q2019 (Effective 10.01.19)PDFGMAC LIST593.210/01/2019 
Select Specialty Pharmacy Rates - Revised 10/01/2019PDFSSPR2355.510/01/2019 
GMAC List - 3Q2019 (Effective 07.01.19)PDFGMAC LIST615.407/01/2019 
Select Specialty Pharmacy Rates - Revised 07/01/19.PDFSSPR2052.907/01/2019 
GMAC List - 2Q2019 (Effective 04.01.19)PDFGMAC LIST617.204/01/2019 
Select Specialty Pharmacy Rates - revised 4.1.19PDFSSPR241404/01/2019 
GMAC Suspensions - Effective 1.10.19PDFGMAC SUSPENSIONS6.901/10/2019 
GMAC List - 1Q2019 (Effective 1.1.19)PDFGMAC LIST945.301/01/2019 
Select Specialty Pharmacy Rates - revised 1.1.19PDFSSPR1810.901/01/2019 
GMAC List - 4Q2018 (Effective 10.01.18)PDFGMAC LIST615.610/01/2018 
Select Specialty Pharmacy Rates - revised 10.1.18PDFSSPR1231.810/01/2018 
GMAC List - 3Q2018 (Effective 7.1.18)PDFGMAC LIST615.507/01/2018 
Select Specialty Pharmacy Rates - revised 7.1.18PDFSSPR1898.207/01/2018 
GMAC Suspensions - Effective 6/26/2018PDFGMAC SUSPENSIONS6.906/26/2018 
Select Specialty Pharmacy Rates - revised 4.1.18PDFSSPR260.105/01/2018 
GMAC List - 2Q2018 (Effective 04.01.18)PDFGMAC LIST621.504/01/2018 
GMAC Suspensions - Effective 2.6.18PDFGMAC SUSPENSIONS6.902/06/2018 
GMAC Increases - Effective 1.9.18PDFALL CATEGORIES7.501/23/2018 
GMAC List - 1Q2018 (Effective 1.1.18)PDFGMAC LIST624.401/01/2018 
GMAC Increases - Effective 09/01/17PDFALL CATEGORIES7.710/23/2017 
GMAC List - 4Q2017 (Effective 10.1.17)PDFGMAC LIST953.810/01/2017 
GMAC List - 3Q2017 (Effective 7.15.17)PDFGMAC LIST625.506/15/2017 
GMAC Increases - Effective 05/01/2017PDFALL CATEGORIES6.405/15/2017 
GMAC Suspensions - Effective 04/11/2017PDFGMAC SUSPENSIONS6.404/11/2017 
GMAC List - 2Q2016 (Effective 4.1.17)PDFGMAC LIST641.304/04/2017 
Select Specialty Pharmacy Rates - revised 2.16.17PDFSSPR750.604/01/2017 
Select Specialty Pharmacy Rates - revised 4.1.17PDFSSPR20104/01/2017 
GMAC Increases - Effective 1/1/2017PDFALL CATEGORIES7.603/09/2017 
GMAC Additions - Effective 1/2/2017PDFGMAC ADDITIONS7.403/06/2017 
GMAC Decreases - Effective 4/1/2017PDFGMAC DECREASES7.903/06/2017 
GMAC Increases - Effective 2/24/2017PDFALL CATEGORIES11.303/06/2017 
Select Specialty Pharmacy Rates - revised 1.24.17PDFSSPR1101.801/24/2017 
Select Specialty Pharmacy Rates - revised 1.12.17PDFSSPR1231.901/12/2017 
Select Specialty Pharmacy Rates - revised 12.30.16PDFSSPR1223.601/04/2017 
GMAC List - 1Q2017 (Effective 1.1.17)PDFGMAC LIST639.512/19/2016 
GMAC Decreases - Effective 11/17/2016PDFGMAC DECREASES7.511/23/2016 
GMAC Increases - Effective 11/17/2016PDFALL CATEGORIES7.911/23/2016 
Select Specialty Pharmacy Rates - revised 11.8.16PDFSSPR1215.911/09/2016 
GMAC Increases - Effective 07/21/2016PDFALL CATEGORIES7.610/05/2016 
Select Specialty Pharmacy Rates - revised 9.21.16PDFSSPR1199.909/21/2016 
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