MAC Pricing List Update – Specialty Medications

Effective June 24th, 2009, MO HealthNet will update the Missouri MAC drug list to include specific specialty medications. Specialty medications are often defined as high-cost injectable, infused, oral, or inhaled drugs that may involve specific handling, supervision or monitoring.

Following current MO HealthNet pricing methodology, Wholesale Acquisition Cost (WAC), pricing generally available to providers and number of suppliers, will be used as a basis for pricing both the identified specialty medications and the products on the traditional MAC list. In accordance with MHD MAC program policy, MO HealthNet staff will monitor and update the more inclusive Missouri MAC list. Specific questions regarding MHD Pharmacy Program policy may be addressed to AskClinicalServices@dss.mo.gov.

Table of MAC Price List Update for Traditional MAC/FUL Program and Specialty MAC Program.
Issue Date MAC/FUL Program Update Effective Dates
Jun 08, 2010 FUL Program
Feb 07, 2012 Traditional MAC
Feb 07, 2012 Specialty MAC Program