AHCCCS Pharmacy Information
Continuous Glucose Monitor (CGM) Update
At the October 2021 AHCCCS Pharmacy and Therapeutics Committee meeting, the continuous glucose monitor (CGM) class was reviewed for potential addition by AHCCCS as a supplemental rebate class. After further review, AHCCCS has determined not to add the CGM class for supplemental rebate. AHCCCS is in the process of standardizing medical necessity criteria for the AHCCCS Fee-for-Service program and MCO contractors for publication in the AHCCCS Medical Policy Manual (AMPM). The proposed AMPM CGM medical necessity criteria will be published for public comment through the established AMPM public comment process. Interested parties may subscribe to receive email alerts.
The AHCCCS Pharmacy & Therapeutics Committee (Committee) is advisory to the AHCCCS Administration and is responsible for evaluating scientific evidence of the relative safety, efficacy, effectiveness and clinical appropriateness of prescription drugs. The Committee makes recommendations to the AHCCCS Administration on the development and maintenance of a statewide drug list and prior authorization criteria as appropriate. The Committee may also evaluate individual drugs and therapeutic classes of drugs.
The meetings are open to the public.
P&T Meeting Public Testimony, for persons that are not representing a pharmaceutical company, pharmacy benefit manager or related entity, may be given orally or submitted as a written document in accordance with the AHCCCS P&T Operational Policy
Each person must fill out the Public Testimony Registration Form and the Conflict of Interest Form to register for the meeting. All registrations and testimony must be received at least 14 days in advance of the AHCCCS P&T meeting.
Meeting Schedule
For up to date information regarding supplemental rebates including class reviews and testimony registration, please visit the Provider Synergies Website.
Agendas & Meeting Minutes
ANNOUNCEMENT: All AHCCCS P&T meetings will be held virtually until further notice.
May 24, 2022
- Meeting Documents
January 19, 2022
October 18, 2021
- Meeting Registration
- Meeting Documents
May 19, 2021
- Meeting Documents
January 26, 2021
- Meeting Documents
- Agenda
- Public Testimony
- Angela Hughey
- Janice Piatt, MD
- Councilwoman Debra Stark
- Ravi Grivois-Shah, MD
- Sudha Nagalingam, MD
- Glen Spencer
- Southwest Center for HIV/AIDS
- Presentation
- AHCCCS Preferred Drug List Class Recommendations
- AHCCCS Preferred Drug Changes Effective April 1, 2021
- AHCCCS Preferred Drug Contractor's Notice Effective April 1, 2021
- Approved Meeting Minutes
October 14, 2020
- ANNOUNCEMENT: The October 14, 2020 P&T meeting will be held virtually. Additional information will be provided as soon as it is available.
- Meeting Documents
May 19, 2020
- ANNOUNCEMENT: The May 19, 2020 P&T meeting will be held virtually. Additional information will be provided as soon as it is available.
- Meeting Documents
January 22, 2020
October 16, 2019
- Meeting Documents
May 23, 2019
- Meeting Documents
- Agenda
- Presentation
- AHCCCS Preferred Drug List Class Recommendations
- AHCCCS Preferred Drug Changes Effective October 1, 2019
- AHCCCS Preferred Drug Contractor's Notice Effective October 1, 2019
- Approved Meeting Minutes
- Testimony
- Will Humble
- Robert England
- Michael Dekker
- Jacob Winans
April 29, 2019
- Meeting Documents
January 16, 2019
- The January 16, 2019 Pharmacy and Therapeutics Committee Meeting has been cancelled.
October 22, 2018
- The October 22, 2018 Pharmacy and Therapeutics Committee meeting has been cancelled.
July 17, 2018
- Meeting Documents
April 17, 2018
- Meeting Documents
January 16, 2018
October 12, 2017
- Meeting Documents
July 10, 2017
- Meeting Documents
April 13, 2017
- Meeting Documents
January 25, 2017
- Meeting Documents
October 19, 2016
- Meeting Documents
August 16, 2016
- Meeting Documents
May 17, 2016
- Meeting Documents
February 17, 2016
November 17, 2015
- Meeting Documents
October 20, 2015
Current P&T Committee Member Information
- Current P&T Member Roster and Open Positions
- P&T Member Conflict of Interest Forms
P&T Application - Now Accepting New Members
The AHCCCS Pharmacy and Therapeutics Committee is now accepting new members for the following positions:
- Health Care Providers - 3 positions available
- Family Practice
- Pain Management
- Pediatrics
- Public- 1 position available
- Medicaid Member
- AHCCCS MCO's and TRBHA - 2 positions available
- TRBHA Pharmacy Director
- TRBHA Medical Director
- University Representative - 1 position available
- Researcher
Please update the linked document below for P&T application to the attached committee application document.
Please fill out the P&T Application and send to the Arizona Pharmacy Department ( AHCCCSPharmacyDept@azahcccs.gov ) for consideration.
Supplemental Rebate Vendor
- Provider Synergies, LLC is an affiliate of Magellan Medicaid Administration contracted with AHCCCS to facilitate and collect rebates for the supplemental rebate program. For up to date information regarding supplemental rebates including class reviews and testimony registration, please visit the Provider Synergies Website.
Communications
AIHP Drug Lists
- AHCCCS Americian Indian Health Plan Acute and Long Term Care Drug List (Effective April 1, 2022) | Rich Text Version
- AHCCCS Americian Indian Health Plan Acute and Long Term Care Drug List (Effective January 1, 2022) | Rich Text Version
- AHCCCS Fee-For-Service Program T(RBHA) Drug List (Effective January 1, 2022) | Rich Text Version
- Over-the-Counter Drugs for Dual Eligibles (Effective January 1, 2021) | Rich Text Version
AIHP Pharmacy Information
Drug Prior Authorization Form
AHCCCS IHS/638 Claims Transition
AHCCCS Policies and Changes
- Pharmacy And Therapeutics Committee Operational Policy
- Pharmacy and Therapeutics Committee Conflict of Interest Disclosure Form
- AHCCCS Medical Policy Manual Policy Exhibit 300-1 - Tobacco Cessation
- AHCCCS Medical Policy Manual Pharmacy Policy 310-V Prescription Medication / Pharmacy Services
- Fee-For-Service Provider Manual Pharmacy Chapter 12: Pharmacy Services
Regulatory Information
- 340B Rule
- AZ SPA #16-003: Vaccines and Immunizations
- Tamper Resistant Prescription Pads Memo 11/08/2012 | Rich Text Version & 04/27/2012 | Rich Text Version
- Billing Requirements for Drugs Administered in Outpatient Clinical Settings
- FFS and MCO Contractors Pharmacy Websites
- AHCCCS Pharmacy Email address: AHCCCSPHARMACYDEPT@AZAHCCCS.GOV
- Receive Update: Listserv Sign Up
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AHCCCS US Postal Address:Suzanne Berman RPh
AHCCCS Pharmacy Dept.
801 E. Jefferson MD8000
Phoenix, Arizona 85034
For more information, you may contact the Pharmacy Department at AHCCCSPHARMACYDEPT@AZAHCCCS.GOV.
Archived pharmacy documents are available under ‘Pharmacy Updates’ in the AHCCCS Document Archive.