Public Comment on MDHHS Medicaid Managed Care Common Formulary

The Michigan Department of Health and Human Services (MDHHS) is soliciting comments from the public on the Michigan Medicaid Managed Care Common Formulary. The Common Formulary applies to pharmacy claims paid by Medicaid Managed Care Organizations (MCO) - it will not apply to claims paid through Fee-for-Service. The public may submit comments on the drugs included or not included on the Common Formulary, new drug products, prior authorization criteria, step therapy criteria and other topics related to drug coverage under the Common Formulary. The comments will be reviewed by MDHHS and the Michigan Medicaid Managed Care Common Formulary Workgroup. Changes may be made to the Common Formulary based on comments received.

Information on the Common Formulary can be found on the MCO Common Formulary webpage.

In most cases, drug products must be approved by the U.S. Food and Drug Administration (FDA) and must be available in the marketplace for at least six months before they are reviewed by the Department and Common Formulary Workgroup.

Comments will be solicited once per calendar quarter.

Please send your comments by June 3, 2016 to:

Linda VanCamp, Formulary Analyst
Bureau of Medicaid Care Management & Quality Assurance
Medical Services Administration
P.O. Box 30479
Lansing, Michigan 48909-7979

Telephone: 517-373-9252
Fax: 517-763-0142


Posted in: State Government News, Medicaid, Hot Topics, News for Practices