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  Friday, August 28, 2015
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The GMAC Additions, Decreases, Increases and Suspensions pages will be removed in the near future. With this change, all GMAC publications and notices will be available under the GMAC List page.
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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 Suspensions - Effective 08.20.15PDFGMAC SUSPENSIONS7.3008/20/2015 
Select Specialty Pharmacy Rates - revised 08.13.15PDFSSPR1029.1008/17/2015 
GMAC Additions - Effective 07/24/2015PDFGMAC ADDITIONS10.5007/27/2015 
GMAC List - 3Q2015 (Effective 07.01.15)PDFGMAC LIST640.2006/23/2015 
Select Specialty Pharmacy Rates - revised 06.09.15PDFSSPR1036.8006/10/2015 
GMAC Increases - Effective 02/18/2015PDFGMAC INCREASES7.7006/09/2015 
GMAC Increases - Effective 04/01/15PDFGMAC INCREASES13.3006/09/2015 
GMAC Suspensions - Effective 04.01.15PDFGMAC SUSPENSIONS7.1006/09/2015 
Select Specialty Pharmacy Rates - revised 05.18.15PDFSSPR1490.7005/18/2015 
Select Specialty Pharmacy Rates revised 04.15.15PDFSSPR100604/15/2015 
Select Specialty Pharmacy Rates - revised 03.26.15PDFSSPR1034.9004/08/2015 
GMAC List - 2Q2015 (Effective 04.01.15)PDFGMAC LIST654.1003/24/2015 
Select Specialty Pharmacy Rates - revised 03.16.15PDFSSPR1009.5003/23/2015 
GMAC Suspensions - Effective 03/09/2015PDFGMAC SUSPENSIONS7.7003/09/2015 
Select Specialty Pharmacy Rates - revised 2.24.15PDFSSPR1009.4003/03/2015 
GMAC Increases - Effective 2.23.2015PDFGMAC INCREASES8.2002/24/2015 
GMAC Suspensions - Effective 2.18.2015PDFGMAC SUSPENSIONS7.3002/24/2015 
GMAC Increases - Effective 02/17/2015PDFGMAC INCREASES11.5002/17/2015 
GMAC Additions - Effective 02/06/2015PDFGMAC ADDITIONS10.3002/11/2015 
GMAC Increases - Effective 02/06/2015PDFGMAC INCREASES1102/11/2015 
GMAC Increases - Effective 1/13/2015PDFGMAC INCREASES8.1001/21/2015 
GMAC Increases - Effective 1/20/2015PDFGMAC INCREASES10.4001/21/2015 
GMAC Increases - Effective 11/1/2014PDFGMAC INCREASES7.7001/21/2015 
Select Specialty Pharmacy Rates - revised 01.19.15PDFSSPR1027.9001/21/2015 
GMAC Increases - Effective 01/13/2015PDFGMAC INCREASES10.4001/13/2015 
Select Specialty Pharmacy Rates - revised 12.23.14PDFSSPR99501/08/2015 
GMAC Additions - Effective 01/06/2015PDFGMAC ADDITIONS801/05/2015 
GMAC Increases - Effective 01/06/2015PDFGMAC INCREASES11.3001/05/2015 
GMAC Suspensions - Effective 01/06/2015 PDFGMAC SUSPENSIONS7.3001/05/2015 
GMAC Increases - Effective 12 16 2014PDFGMAC INCREASES11.2012/22/2014 
GMAC Suspensions - Effective 12 11 2014PDFGMAC SUSPENSIONS7.2012/22/2014 
Select Specialty Pharmacy Rates - revised 12.3.14PDFSSPR980.3012/05/2014 
GMAC List - 1Q2015 (Effective 1.1.15)PDFGMAC LIST648.4012/03/2014 
GMAC List - 4Q2014 (Effective 10.01.14)PDFGMAC LIST547.7011/17/2014 
Select Specialty Pharmacy Rates - revised 11.12.14PDFSSPR971.1011/17/2014 
GMAC Increases - Effective 10.28.2014PDFGMAC INCREASES10.9010/28/2014 
Select Specialty Pharmacy Rates - revised 07.18.14PDFSSPR776.6009/15/2014 
GMAC Decreases - Effective 09.25.14PDFGMAC DECREASES1108/27/2014 
GMAC Suspensions - Effective 08.25.14PDFGMAC SUSPENSIONS7.3008/27/2014 
GMAC Increases - Effective 8.15.14PDFGMAC INCREASES10.5008/18/2014 
GMAC Suspensions - Effective 8.15.14PDFGMAC SUSPENSIONS7.5008/18/2014 
Select Specialty Pharmacy Rates - revised 07.18.14PDFSSPR764.8008/18/2014 
GMAC Additions - Effective 08.04.14PDFGMAC ADDITIONS7.5008/05/2014 
GMAC Suspensions - Effective 08.04.14PDFGMAC SUSPENSIONS7.4008/05/2014 
GMAC Increases - Effective 08.04.14PDFGMAC INCREASES45.2008/04/2014 
GMAC Increases - Effective 07.22.14PDFGMAC INCREASES7.5007/23/2014 
GMAC Suspensions - Effective 07.22.14PDFGMAC SUSPENSIONS707/23/2014 
Select Specialty Pharmacy Rates - revised 07.18.14PDFSSPR75007/23/2014 
GMAC Decreases - Effective 08.18.14PDFGMAC DECREASES11.1007/22/2014 
GMAC Increases - Effective 07.18.14PDFGMAC INCREASES11.8007/22/2014 
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