Pharmacy Reimbursement

This web site is intended to provide an efficient means to obtain Medicaid program documentation and information relating to the average actual acquisition cost (AAC) and the Cost of Dispensing Survey.  If you have any questions about this information, please contact us.

Important Contact Information
Help Desk Line: 800.591.1183
Phone: 317.816.4136
Fax: 317.571.8481
Email: iapharmacy@mslc.com

Myers and Stauffer LC
Iowa Medicaid Enterprise
Provider Cost Audit and Rate Setting Unit
800 East 96th Street, Suite 200
Indianapolis, IN 46240

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Pharmacy Average Actual Acquisition Cost

The 84th Iowa General Assembly enacted during the 2012 Iowa Legislative Session the requirement that the Department of Human Services (DHS) perform a cost of dispensing survey and implement an average actual acquisition cost (AAC) reimbursement methodology for all drugs. (Senate File 2336, Section 33). Additionally, pharmacies must make available drug acquisition invoice information upon request. Any dispensing fee expenses or acquisition cost information required to be submitted under this legislation that specifically identifies a pharmacy or provider’s individual cost will remain confidential.

Average AAC rates will be updated on a weekly or more frequent basis. Rates will be updated by adjustments reflecting relative changes in published drug prices, and new drug acquisition costs collected through surveys or provider initiated inquiries.

Average Acquisition Cost Lists

AAC Rate Review Request

If you would like to submit a rate review request online, use the link at the right. Otherwise, the form is available to download below.

Submit Your Rate Request Online

Pharmacy Cost of Dispensing Survey

The 85th Iowa General Assembly enacted during the 2013 Iowa Legislative session the requirement that the Department of Human Services base the pharmacy dispensing fee on the cost of dispensing survey performed by the department.  Pursuant to this legislation, pharmacies that participate in the Medical Assistance program are required to complete the cost of dispensing survey every two years, beginning in fiscal year 2014-2015. (2013 Iowa Acts, Senate File 446, section 29).  Any dispensing fee expenses required to be submitted under this legislation that specifically identifies a pharmacy or provider’s individual cost will remain confidential.

For questions with regards to the cost of dispensing survey, please contact Myers and Stauffer at 800.374.6858, or disp_survey@mslc.com.

Information and materials on this Site may not be published or used except as provided under the terms and conditions listed in the legal disclaimer or as otherwise noted on the Site without the written permission of the State of Iowa, Iowa Department of Human Services, and/or Myers and Stauffer LC.