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Arizona Medicaid

Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. Individuals must meet certain income and other requirements to obtain services. AHCCCS has several initiatives underway aimed at building a more cohesive and effective health care system in Arizona by reducing fragmentation, structuring provider reimbursements to incentivize quality outcomes, leveraging health information technology and working with private sector partners to further innovation to the greatest extent.

Useful Links

Request for Offers

Manufacturer Letter

  • Letter (for July 2018 meeting)

Offer Form

The Offer Form provides the mechanism for you to submit your proposals for the Supplemental Rebate program.

Line Extension Form

The Line Extension Form provides the mechanism for your company to submit line extensions for the Supplemental Rebate program.

P&T Meeting Public Testimony Request Form

Any person, employed by or representing a pharmaceutical company, requesting to provide public testimony at the AHCCCS P&T Committee Meeting must submit their registration form 30 days in advance of the meeting.

Public and written testimony from a person not employed by or representing a pharmaceutical manufacturer must be submitted 14 days in advance of the AHCCCS P&T Meeting.

The Public Testimony Registration Form must be submitted to request a time slot for public testimony at the P&T meetings.