INTERPRETIVE OR POLICY STATEMENT
SOCIAL AND HEALTH SERVICES
Subject: Prescription drug program: Maximum allowable cost update.
Effective Date: October 20, 2004.
Document Description: Effective for dates of service on and after November 1, 2004, the Medical Assistance Administration (MAA) will implement the following changes to the prescription drug program:
1. Request dispensing of 20mg fluoxetine capsules in place of 40mg fluoxetine capsules;
2. New additions to the maximum allowable cost (MAC) list;
3. Adjustments to existing MACs; and
4. Deletions from the MAC list.
To receive a copy of the interpretive or policy statement, contact Barbara Salmon, Rules and Publications Section, Department of Social and Health Services, Medical Assistance Administration, Division of Policy and Analysis, P.O. Box 45533, Olympia, WA 98504-5533, phone (360) 725-1349 or go to website http://maa.dshs.wa.gov/download/publicationsfees.htm (click on "Numbered Memos," "Year 2003"), TDD 1-800-848-5429, fax (360) 586-9727, e-mail email@example.com.
October 26, 2004
Ann Myers, Manager
Rules and Publications Section