The Wisconsin Department of Health Services - Division of Medicaid Services (DMS) is implementing a preferred drug list and supplemental rebate program for Wisconsin Medicaid, BadgerCare, and SeniorCare. DMS has retained Provider Synergies and the Medicaid fiscal agent, DXC Technology, to provide PDL management and supplemental rebate contracting services.
As part of the state's effort to control costs and provide clinically sound drug therapy for recipients, Provider Synergies will work with the Wisconsin Department of Health Services - Division of Medicaid Services Prior Authorization Committee and DMS to expand the selection of preferred medications based on a review of the relative clinical effectiveness and cost of products within selected therapeutic classes. The intent of the PDL is to achieve quality pharmaceutical care for recipients enrolled in the Department's Medicaid fee-for-service programs while providing significant state savings.
Provider Synergies provides expert clinical staffing and support to the PA Committee, PDL development and ongoing management, supplemental rebate negotiation and comprehensive reporting services to Wisconsin Medicaid.
You may visit the Wisconsin Medicaid Web site at https://www.dhs.wisconsin.gov/medicaid/index.htm.
Participation in the Supplemental Rebate Process for Wisconsin Medicaid
This state is now participating in the TOP$ program.
Once your company has provided contact information to Provider Synergies, your company's designated representatives will be notified when one or more of your products are under consideration for the PDL.