Mississippi
Mississippi Division of Medicaid

Mississippi Pharmacy Rate Setting

The Mississippi Division of Medicaid (DOM) has contracted with Myers and Stauffer LC, a national certified public accounting and consulting firm, to serve as its pharmacy rate setting vendor and to maintain the Mississippi Specialty Drug List. The pharmacy reimbursement methodology for DOM impacts both fee-for-service and MSCAN pharmacy claims. For State AAC reimbursement questions, or if a claim rejects as “No Rate On File”, please contact Myers and Stauffer’s Mississippi pharmacy help desk to request a rate to allow for claim payment. Myers and Stauffer can be reached by email at MSPharmacy@mslc.com, by phone at (800) 591-1183, or fax at (317) 571-8481. Please contact the claims processor for claim-specific questions.

DOM Specialty Drug List
Specialty drugs are defined by DOM, who is reevaluating the criteria which has been used to assign drugs/drug classes to this list. Effective, 7/1/2021, there are no drugs on the Specialty Drug List until further notice.

Note – An archive of all monthly Specialty Drug List is available on the pharmacy reimbursement DOM website.

Mississippi Pharmacy Help Desk

If you have a question regarding a NADAC rate, please contact the NADAC Help Desk website or contact the NADAC help desk 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 specific claims related questions or concerns. Information regarding the NADAC help desk can be found at the CMS Retail Price Survey website.

If you have received a claim rejection stating, “No Rate On File,” please use one of the following options to request to a State AAC rate: