AHCCCS Pharmacy Information
Pharmacy Updates
Sublocade & Brixadi
AHCCCS is rescinding the buy and bill requirement for Sublocade and Brixadi effective October 7, 2024. For additional inquiries, please email the pharmacy department at AHCCCSPharmacyDept@azahcccs.gov
Arizona Complete Health-Complete Care Plan (AzCH-CCP) ACC-RBHA
Arizona Complete Health - Pharmacy
When you visit this page, scroll down to where it says, “How to get your Prescriptions.” Click the plus sign to see additional information in this section. Click the Express Scripts link under the following section: Non-Title AHCCCS Enrollees assigned to AzCH-CCP can find Pharmacy Benefit details by logging into the Express Scripts website. When you register or log in, you will be able to see your pharmacy information, including your member ID card.
Mercy Care ACC-RBHA
When you visit this page, scroll down where it says, “Member portal.” Click the link that prompts you to register for the web portal. When you register or log in, you will be able to see your member ID card. You will also be able to see it on your mobile device.
The AHCCCS Pharmacy & Therapeutics Committee (Committee) is advisory to the AHCCCS Administration and is responsible for evaluating scientific evidence of the relative safety, efficacy, effectiveness and clinical appropriateness of prescription drugs. The Committee makes recommendations to the AHCCCS Administration on the development and maintenance of a statewide drug list and prior authorization criteria as appropriate. The Committee may also evaluate individual drugs and therapeutic classes of drugs.
The meetings are open to the public.
P&T Meeting Public Testimony, for persons that are not representing a pharmaceutical company, pharmacy benefit manager or related entity, may be given orally or submitted as a written document in accordance with the AHCCCS P&T Operational Policy
Each person must fill out the Public Testimony Registration Form and the Conflict of Interest Form to register for the meeting. See the AHCCCS P&T Operational Policy for deadlines.
Magellan Medicaid Administration, Inc. (MMA), part of the Magellan Rx Management division of Prime Therapeutics LLC, has been selected to manage the preferred drug list (PDL) and supplemental rebate processes. Please see the MagellanRX Management site for more information.
P&T Meeting and Class Review Schedule
October 15, 2024
- Non-Supplemental Repeat Classes Review:
- Antimigraine Agents-Triptans
- Leukotriene Modifiers
- Phosphate Binders
- Sedative Hypnotics
- Topical Steroids by Potency (low, medium, high, very high)
- Antifungals-Oral
- Antifungals- Topicals
- Beta Blockers
- BPH Treatments
- Calcium Channel Blockers
- HIV-AIDS
- Movement Disorders
January 29, 2025
- Non-Supplemental Rebate Classes Review:
- Androgenic Agents
- Antidepressants - Other
- Antidepressants - SSRIs
- Antivirals, Topical
- Beta Agonist Bronchodilators
- Bone Resorption Suppression and Related Agents
- Colony Stimulating Factors
- Enzyme Replacement - Gauchers Disease
- Erythropoiesis Stimulating Proteins
- Hypoglycemics - Alpha-Glucosidase Inhibitors
- Hypoglycemics - Metformins
- Hypoglycemics - SGLT2s
- Immune Globulins
- Oncology, Oral - Hematologic
- Ophthalmics – Anti-Inflammatory/Immunomodulators
- Otic Antibiotics
- PAH Agents - Oral and Inhaled
- Thrombopoiesis Stimulating Proteins
- Ulcerative Colitis
Agendas & Meeting Minutes
ANNOUNCEMENT: All AHCCCS P&T meetings will be held virtually until further notice.
October 15, 2024
- Meeting Documents
June 18, 2024
- Meeting Documents
January 24, 2024
October 25, 2023
- Meeting Documents
May 23, 2023
- Meeting Documents
January 25, 2023
October 19, 2022
- Meeting Documents
May 24, 2022
- Meeting Documents
January 19, 2022
Current P&T Committee Member Information
P&T Application - Now Accepting New Members
The AHCCCS Pharmacy and Therapeutics Committee is now accepting new members for the following positions:
- Health Care Providers - 1 Representative (Obstetrics and Gynecology)
- Public - 2 Representatives (Inter-Tribal Council of Arizona and Medicaid Member)
- AHCCCS MCO's and TRBHA - 2 Representatives (TRBHA Pharmacy Director and/or TRBHA Medical Director)
- University Representative - 1 Representative (Researcher)
Please fill out the P&T Application and send to the Arizona Pharmacy Department ( AHCCCSPharmacyDept@azahcccs.gov ) for consideration.
AIHP Drug Lists
- AHCCCS American Indian Health Plan Drug List - Effective October 1, 2024
- AHCCCS American Indian Health Plan Drug List - Effective April 1, 2024
AIHP Pharmacy Information
Drug Prior Authorization Form
AHCCCS Policies and Changes
- Pharmacy And Therapeutics Committee Operational Policy
- Pharmacy and Therapeutics Committee Conflict of Interest Disclosure Form
- AHCCCS Medical Policy Manual Policy Exhibit 300-1 - Tobacco Cessation
- AHCCCS Medical Policy Manual Pharmacy Policy 310-V Prescription Medication / Pharmacy Services
- Fee-For-Service Provider Manual Pharmacy Chapter 12: Pharmacy Services
Regulatory Information
- 340B Rule
- Tamper Resistant Prescription Pads Memo 11/08/2012 | Rich Text Version & 04/27/2012 | Rich Text Version
- AHCCCS FFS and MCO Contractors BIN, PCN and Group ID's effective 1/1/24
- AHCCCS FFS and MCO Contractors BIN, PCN and Group ID's effective 4/1/23
- MCO Contractor Contact Information
- AHCCCS Pharmacy Email address: AHCCCSPHARMACYDEPT@AZAHCCCS.GOV
- Receive Update: Listserv Sign Up
For more information, you may contact the Pharmacy Department at AHCCCSPHARMACYDEPT@AZAHCCCS.GOV.
Archived pharmacy documents are available under ‘Pharmacy Updates’ in the AHCCCS Document Archive.