Effective June 24th, 2009, MO HealthNet will update the Missouri Maximum Allowable Cost (MAC) drug list to include specific specialty medications. Specialty medications are often defined as high-cost injectable, infused, oral, or inhaled drugs that may involve specific handling, supervision or monitoring.

Following current MO HealthNet pricing methodology, Wholesale Acquisition Cost (WAC), pricing generally available to providers and number of suppliers, will be used as a basis for pricing both the identified specialty medications and the products on the traditional MAC list. In accordance with MHD MAC program policy, MO HealthNet staff will monitor and update the more inclusive Missouri MAC list. Specific questions regarding MHD Pharmacy Program policy may be addressed to MHD.PharmacyAdmin@dss.mo.gov.

Issue Date MAC Program Update Effective Dates
11/01/2023 Traditional MAC
10/01/2023 Traditional MAC
09/01/2023 Traditional MAC
08/01/2023 Traditional MAC
07/01/2023 Traditional MAC
06/01/2023 Traditional MAC
05/01/2023 Traditional MAC
04/01/2023 Traditional MAC
03/01/2023 Traditional MAC
02/01/2023 Traditional MAC
01/01/2023 Traditional MAC
12/01/2022 Traditional MAC
11/01/2022 Traditional MAC
10/01/2022 Traditional MAC
09/01/2022 Traditional MAC
8/01/2022 Traditional MAC
07/01/2022 Traditional MAC
06/01/2022 Traditional MAC
05/01/2022 Traditional MAC
04/01/2022 Traditional MAC
03/01/2022 Traditional MAC
02/01/2022 Traditional MAC
01/01/2022 Traditional MAC
12/01/2021 Traditional MAC
11/01/2021 Traditional MAC
10/01/2021 Traditional MAC
09/01/2021 Traditional MAC
08/01/2021 Traditional MAC
07/01/2021 Traditional MAC
06/01/2021 Traditional MAC
05/01/2021 Traditional MAC
04/01/2021 Traditional MAC
03/01/2021 Traditional MAC
02/01/2021 Traditional MAC
01/01/2021 Traditional MAC