North Carolina
North Carolina Department of Health and Human Services

North Carolina Pharmacy Reimbursement

The Department of Health and Human Services Division of Health Benefits has contracted with Myers and Stauffer LC, to provide assistance in maintaining the State MAC list for drugs based on drug acquisition cost and the Enhanced Specialty Drug Reimbursement list. As new State MAC rates are developed, the rates will be posted on this website. Please check this site regularly for changes to the State MAC list.

If you have trouble opening or downloading the files listed below, please contact Myers and Stauffer at 800-591-1183 and ask for the North Carolina pharmacy unit.

Information and materials on the Site may not be published or used except as provided under these terms and conditions or as otherwise noted on the Site without the written permission of the State of North Carolina, North Carolina Department of Health and Human Services Division of Health Benefits and/or Myers and Stauffer LC.

Important Contact Information
Help Desk Line: 800.591.1183
Fax: 317.571.8481
Email: NCpharmacy@mslc.com

Click here for administrative log in.

State MAC Review

Below you will find helpful documents for the SMAC rate review process. If you would like to submit your rate review 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 Information

The Department of Health and Human Services Division of Health Benefits has contracted with Myers and Stauffer LC, Certified Public Accountants, to perform a survey of the cost of dispensing prescriptions to Medicaid members.

Cost of dispensing surveys were distributed to pharmacies that participate in the North Carolina Medicaid pharmacy program on March 4, 2025. The due date for the cost of dispensing survey is April 15, 2025. Below are the survey notification letters and the Excel version of the cost of dispensing survey.

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