Louisiana Medicaid Pharmacy Reimbursement
Effective May 1, 2019, LDH’s primary ingredient reimbursement will utilize the NADAC, which is an actual acquisition cost reimbursement index calculated by CMS, plus a professional dispensing fee. Please see the CMS Pharmacy Pricing website for the most current NADAC rates.
The Louisiana Department of Health (LDH) has contracted with Myers and Stauffer LC, a national certified public accounting and consulting firm, to provide and maintain rates for drugs with no associated NADAC or WAC rate.
Important Contact Information
Help Desk Line: 800.591.1183
Email: LApharmacy@mslc.com
Click here for administrative log in.
Cost of Dispensing Survey
The Louisiana Department of Health (LDH) has contracted with the firm of Myers and Stauffer, Certified Public Accountants, to conduct a pharmacy cost of dispensing survey. Myers and Stauffer has extensive experience in performing pharmacy cost studies and analysis. All pharmacies that participate in the Louisiana Medicaid pharmacy program are required to participate in the survey.
Cost of dispensing surveys were distributed to pharmacies that participate in the Louisiana Medicaid pharmacy program on August 7, 2024. The due date for the cost of dispensing survey is September 18, 2024. Below are the survey notification letters and the Excel version of the cost of dispensing survey.
Pharmacy Help Desk and Rate Review
No Rate on File
The Louisiana Department of Health (LDH) contracted with Myers and Stauffer LC, a national public accounting and consulting firm, to provide and maintain rates for drugs with no associated NADAC or WAC rate. If you have received a claim rejection stating, “NDC PRICE MISSING, CALL MYERS & STAUFFER,” please use one of the following options to request to an NDC price.
Call Myers and Stauffer’s Louisiana pharmacy help desk at 800.591.1183.
Use the form to the right to request a NDC price.
Submit an online request for a NDC price using the link at right.
NADAC Pricing
If you have a question regarding a NADAC rate, please contact the NADAC Help Desk website or contact them directly at:
Toll-free phone: 855.457.5264
Email: Info@mslcrps.com
Fax: 844.860.0236
Please note that the NADAC help desk cannot address pharmacy inquiries for Louisiana-specific claims reimbursement related questions or concerns. Information regarding the NADAC help desk can be found at the CMS Retail Price Survey website.
Clotting Factor Pricing
The Louisiana Department of Health (LDH) has contracted with Myers and Stauffer LC, a national public accounting and consulting firm, to provide and maintain rates for Clotting Factor products. If you would like to submit your rate review online, use the link to the right. Otherwise, the form is also available to download on the right-hand side.
Pharmacy Clotting Factor Average Acquisition Cost Listing
The Louisiana Department of Health has contracted with Myers and Stauffer LC, a national consulting firm, to provide assistance in establishing and maintaining the Average Acquisition Cost (AAC) list for Clotting Factor products. 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. As new AAC rates are developed, the rates will be posted on this website prior to implementation and will include current and historical AAC pricing by product. Please check this site regularly for changes to the AAC list.
If you have trouble opening or downloading the files, please contact Myers and Stauffer’s Louisiana pharmacy help desk at lapharmacy@mslc.com or 800.591.1183.
File download below:
Pharmacy Program Resources
Clotting Factor Study
Below is the August 2020 provider stakeholder webinar overview of the LDH Clotting Factor Study and the provider Q&A from the meeting.
Louisiana AAC Rate Archive
LDH contracted with Myers and Stauffer LC to establish and maintain LDH’s SMAC and AAC rates for drugs from September 5, 2012 through April 30, 2019. If you need a copy of these rates, please contact Myers and Stauffer’s Louisiana pharmacy help desk at lapharmacy@mslc.com or 800.591.1183.
Information and materials on this site may not be published or used except as provided under these terms and conditions, or as otherwise noted on this site, without written permission of the State of Louisiana, the Louisiana Department of Health, and/or Myers and Stauffer LC.