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Pharmacy

Special Notice regarding May 2020 P&T meeting and June 2020 DUR Board Meeting

The May 12, 2020 P&T meeting has been postponed at this time. As soon as the meeting is rescheduled, the new time and registration information will be provided on this page.

The June 11, 2020 Mississippi Division of Medicaid’s Drug Utilization Review (DUR) Board Meeting will be held virtually. Please check this website for updates regarding registration and dial-in information. 

 

Pharmacy

Office of Pharmacy Contact Information

Phone: (601) 359-5253

– Press 1 if you are a Medicaid beneficiary, or if you are calling on behalf of a Medicaid beneficiary;
– Press 2 if you are a provider calling regarding pharmacy prior authorizations for the Change Healthcare pharmacy prior authorization line, or you may call Change Healthcare directly at 1-877-537-0722;
– Press 3 if you are a provider and your call is regarding drug reimbursement for the Mercer Pharmacy Rate Setting call center, or you may call Mercer directly at 1-855-612-6863;
– Press 4 if you are a provider and your call is regarding a non-prior authorization, pharmacy-related issue.
– Press 5 if your call is regarding pharmacy claims processing for the Conduent customer service helpdesk and follow the prompts, or you may call Conduent directly at 1-800-884-3222.
– If your call cannot be answered immediately, please leave a voicemail and your call will be returned as soon as possible in the order in which it was received.

Fax: (601) 359-9555

Claims – Conduent

Contact our fiscal agent, Conduent, for questions or problems relating to any Pharmacy POS claims issues.
Toll-free: 1-800-884-3222
Fax: (601) 206-3015

Prior Authorizations (Fee for Service) – Change Healthcare

Please contact Change Healthcare regarding any prior authorization questions.
Toll-free: 1-877-537-0722
Fax: 1-877-537-0720

Mississippi Medicaid Prescribers – registered users
If you are a Mississippi Medicaid prescriber, submit your prior authorization requests through the Change Healthcare provider portal.

Reimbursement / Specialty Drug List

For questions about drug reimbursement, contact the Mercer Pharmacy Rate Setting call center.
Toll-free: 1-855-612-6863
Fax: 1-602-522-6499

Email: MSMedicaidRx@mercer.com
Visit the Mercer website for more information concerning drug reimbursement or the specialty drug list.