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Pills

Mississippi Medicaid

Magellan Medicaid Administration, Inc. (MMA) was awarded the contract for Preferred Drug List Maintenance and Supplemental Rebate Program for the Mississippi Division of Medicaid (DOM) effective January 1, 2008.

Supplemental rebate invoicing and reconciliation are managed out of the Magellan Medicaid Administration office in Glen Allen, VA.

Preferred Drug List (PDL) Maintenance will be managed by Magellan Medicaid Administration’s sister company, Provider Synergies, L.L.C.  The responsibilities of Provider Synergies include the solicitation, analysis, and contracting of supplemental rebate offers, presentation at P&T Committee Meetings, clinical consultation, and PDL reporting.  Provider Synergies is also responsible for supplemental rebate dispute resolutions.

Mississippi Division of Medicaid (DOM) Pharmacy Services

For information about the Mississippi Division of Medicaid (DOM) Pharmacy Services, visit
their Web page.

Classes To Be Reviewed

Request for Offers

  • E-mail sent on July 05, 2011 (for September 2011 meeting)
  • E-mail sent on July 29, 2011 (for October 2011 meeting)

Preferred Drug List

Offer Form

The Offer Form provides the mechanism for you to submit Supplemental Rebate offers.
Supplemental Rebate Offer Form (September 2011)
Supplemental Rebate Offer Form (October 2011)

Line Extension Form

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

For questions about the Mississippi Medicaid PDL...
Please contact Provider Synergies at: 513.774.8500