Utah Medicaid Pharmacy Reimbursement

Pharmacy Help Desk: (800) 591-1183

Utah Department of Health's Utah Medicaid Program has contracted with Myers and Stauffer LC, a national accounting firm, to provide and maintain the information necessary to assist the Utah Medicaid Program with its Utah Maximum Allowable Cost (UMAC) program. The primary goal of the State's contract with Myers and Stauffer LC, is to develop and maintain a comprehensive reimbursement methodology that offers Utah Medicaid pharmacy providers accuracy, consistency, and transparency in the rate setting process while complying with the federal mandates. Utah Medicaid Program's ingredient reimbursement utilizes the UMAC and the National Average Drug Acquisition Cost (NADAC), which is an actual acquisition cost reimbursement index calculated by CMS.

Utah's UMAC rate is calculated by Myers and Stauffer through a comprehensive survey of Utah pharmacy providers. As Utah specific UMAC rates are developed and updated, the UMAC rates will be available on this website. Please check this website regularly for a link to the most accurate NADAC rates and changes in the current Utah UMAC lists.

If you have trouble opening or downloading the files from this website, please contact Myers and Stauffer LC at (800) 591-1183 and ask for the Utah pharmacy help desk.

Click here for the April 2020 provider stakeholder webinar overview of the UMAC program.

Questions and answers from the webinar meetings

Information and materials on this site may not be published or used except as provided under these terms and conditions, or as otherwise noted on this site, without written permission of the State of Utah, Utah's Department of Health, Utah's Medicaid Program and/or Myers and Stauffer LC.

 

“Myers and Stauffer makes my job easier. They do complex work so that we can focus more attention on planning and future projects. They help me sleep at night.”
—Principal Financial Specialist with a State Medicaid Agency