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Although every effort is made to ensure the accuracy of this information, discrepancies may occur. The fee schedule may not reflect any changes to rates that occurred after the effective date of the fee schedule. Such changes will be reflected in the next release of the fee schedule.
The Average Acquisition Cost (AAC) rates are used to reimburse pharmacies for covered outpatient drugs. Effective July 1, 2016, Myers and Stauffer is the vendor responsible for determining AAC rates.
If a pharmacy believes that an AAC rate does not accurately reflect the cost of a drug, the pharmacy may request a rate review by submitting a completed AAC inquiry form to Myers and Stauffer.
Pharmacy providers may contact Myers and Stauffer’s toll free help desk line at 800-591-1183 for questions concerning the AAC rates or inquiries.
Current AAC rates are posted on Myers and Stauffer’s website at www.mslc.com/Colorado/.
ACC Update – July 28, 2016
Between 7/1/2016 and 7/7/2016, incorrect rates were implemented for approximately 340 NDC numbers. Please click here to see a list of those NDC numbers. The rates were terminated effective 7/25/2016 so the NDCs are currently paying at the correct amounts. The Department is in the process of making the rate corrections retroactive and once that is completed the Department will reprocess all applicable claims so pharmacy providers will receive the correct reimbursement. The Department will post another update once the claims reprocessing has been completed. If pharmacy providers have any questions related to this issue, please contact the Department at CO.SMAC@state.co.us.
AAC Rate List(Prior to July 4, 2016)
2015-2016 Dental Fee ScheduleDental Fee Schedule July 2015
ACF PETI Form (07/16)
Home Health (08/16)
PETI Audiology Fee Schedule - (See Health First Colorado Fee Schedules section above)
PETI Dental Fee Schedule - (See Health First Colorado Fee Schedules section above)
PETI Vision Fee Schedule
EMT Rates (02/16)
NEMT Rates (02/16)