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This document outlines the MAC pricing program implemented by SXC Health Solutions and the Ohio Bureau of Workers’ Compensation for retail pharmacy reimbursement. It provides criteria for inclusion
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How to fill out mac price inquiry
How to fill out MAC Price Inquiry
01
Obtain the MAC Price Inquiry form from the official website or authorized provider.
02
Provide relevant identification details, such as your name and contact information.
03
Specify the item or service for which you are requesting price information.
04
Include any necessary account numbers or reference IDs related to the inquiry.
05
Review the form for accuracy and completeness.
06
Submit the form via the specified method, whether online, via email, or by mail.
Who needs MAC Price Inquiry?
01
Retailers seeking pricing information for MAC products.
02
Distributors wanting to confirm pricing details before making bulk purchases.
03
Individual consumers who want to check the prices before making a purchase.
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What is a Mac price?
Maximum Allowable Cost (MAC) pricing is a payment model contractually agreed to in the marketplace by all participants. The model ensures that those purchasing health insurance benefits, including consumers, do not overpay for generic drugs.
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What is MAC Price Inquiry?
MAC Price Inquiry refers to a request or process through which entities can inquire about the Maximum Allowable Cost (MAC) prices set by Medicaid or other healthcare programs for specific medications.
Who is required to file MAC Price Inquiry?
Pharmacies and other healthcare providers that dispense medications and seek reimbursement based on MAC pricing are typically required to file MAC Price Inquiry.
How to fill out MAC Price Inquiry?
To fill out a MAC Price Inquiry, providers should gather required details such as drug name, dosage, NDC number, and their current pricing, then complete the inquiry form as specified by the Medicaid or payer guidelines.
What is the purpose of MAC Price Inquiry?
The purpose of MAC Price Inquiry is to ensure that pharmacies and providers are informed about reimbursement rates, verify pricing accuracy, and ensure fair compensation for the medications they dispense.
What information must be reported on MAC Price Inquiry?
The information required on MAC Price Inquiry typically includes the drug name, National Drug Code (NDC), strength, quantity dispensed, and the pharmacy's purchase price or other relevant pricing details.
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