Forms and Documents

New Minnesota Provider Manual

0.83 MB Nov 01' 2024

Payer Specifications

0.65 MB Oct 01' 2024

Medical Drug Prior Authorization Form

1.28 MB Oct 25' 2024

Prescription Drug Prior Authorization Request Form

1.25 MB Oct 25' 2024

Prescription Drug Reconsideration Request Form

1.85 MB Oct 25' 2024

30 Day Pharmacy Provider Notice

0.12 MB Oct 17' 2024

60 Day Pharmacy Provider Notice

0.51 MB Sep 04' 2024

MNRx_announcement_20240708

0.53 MB Sep 04' 2024

MN Pharmacy Modernization Stakeholder Meeting_8_21_2024

0.47 MB Aug 29' 2024

MNRx_modernization_meeting_materials_20231130

2.07 MB Aug 29' 2024

MNRx_modernization_meeting_materials_20240320

0.59 MB Aug 29' 2024

MNRx_modernization_meeting_materials_20240618

0.52 MB Aug 29' 2024

Notice of Postponement

0.35 MB Aug 29' 2024

October MHCP Pharmacy Module Modernization Project Stakeholder Meeting

0.7 MB Oct 23' 2024