Idaho Department of Health & Welfare
Pharmacy Documentation & Average Actual Acquisition Cost
Myers & Stauffer serves as a contractor to the Idaho Department of Health & Welfare in support of establishing and maintaining the Actual Acquisition Cost (AAC) list for all drugs. As new AAC rates are developed, they will be posted on this resource page.
Average Acquisition Cost Lists
Dispensing Fee Report
AAC Rate Review
The following resources are available to help you complete the AAC rate review process.
To submit your rate review online, use the Submit Rate Request link on this page. You may also download and complete the AAC Rate Review Form if you prefer to submit your review using a paper form.
Annual Prescription Volume Survey
In accordance with the Idaho Administrative Code 16.03.09.665.01j, the prescription volume data collected from pharmacies will be used to determine their dispensing fee tier for the following calendar year. Each year, surveys will be distributed starting May 1st and will be due by May 31st. Providers who fail to participate in the survey will be placed in the lowest dispensing fee tier of $11.51. The following are the current dispensing fee tiers:
| Total Annual Prescription Volume | Dispensing Fee |
| Fewer than 40,000 claims | $15.11 |
| Between 40,000 and 69,999 claims | $12.35 |
| 70,000 or greater claims | $11.51 |
Please note that the requested information applies to total pharmacy volume and is not limited to prescription/sales information related to Idaho Department of Health & Welfare recipients unless otherwise indicated.
Providers should fill out the survey form for all pharmacy NPIs within their organization that are enrolled with Idaho Medicaid. For providers with 5 or more pharmacy NPIs, please complete the multiple store submission template below and upload via the “multiple store” submission option.
Relevant Information & Helpful Links
Contact information
General Questions
Phone: 800-591-1183
Fax: 317-571-8481
Email: idpharmacy@mslc.com
Annual Prescription Volume Survey
Phone: 800-591-1183
Email: pharmacy@mslc.com
Information and materials on the site may not be published or used except as provided or as otherwise noted on the site without the written permission of the Idaho Department of Health & Welfare and/or Myers & Stauffer.