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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.
Note: The report only includes current AAC rates. If a drug is not listed in an AAC Price List, the drug will be reimbursed using Wholesale Acquisition Cost (WAC). A pharmacy should contact their current vendor to inquire about a WAC price. If a pharmacy believes that an AAC rate does not accurately reflect the cost of a drug, the pharmacy should complete the AAC Inquiry Worksheet.
ACF PETI Form
PETI Audiology Fee Schedule - (See Medicaid Fee Schedules section above)
PETI Dental Fee Schedule - (See Medicaid Fee Schedules section above)
PETI Vision Fee Schedule