Alabama Medicaid Agency

The Alabama Medicaid Agency (ALMA) recognizes that changes in pharmaceutical prices and product availability occur on a regular basis. In addition, the ALMA recognizes that the most current, and reliable information regarding changes in acquisition cost and product availability will be provided by pharmacies. The ALMA will obtain and review industry data, such as published pricing information, and information provided by Alabama pharmacies to frequently assess the AAC program and to insure that AAC rates reflect current pharmaceutical market conditions. To respond to changes in the pharmaceutical market that may impact the price and/or availability of drug products, adjustments to the AAC program will be made periodically as needed.

Providers may also request that the ALMA review AAC prices for particular drugs. Providers who wish the ALMA to consider adjustments to AAC rates may make such a request by contacting Myers & Stauffer in writing by e-mail, regular mail, fax, or toll free telephone. When making such a request, providers will be asked to provide as much information as possible to assist the ALMA and Myers and Stauffer in understanding the specific issue being raised and the provider’s desired outcome. Helpful information should include but not be limited to drug purchase summaries, invoices, remittance advices, and other such documentation. In the absence of sufficient information to assess concerns about AAC rates or other aspects of the AAC program, provider requests cannot be fully considered. Providers initiating requests for review of AAC rates or other issues may be contacted to request supporting documentation or other information.