Forms and Documents
MHCP Provider Manual
MN_Medicaid_Oncology_Drug_List
Payer Specifications
IHS Pharmacy Prescription Drug Prior Authorization Request Form
Medical Prior Authorization Form
Prescription Drug Prior Authorization Request Form
Prescription Drug Reconsideration Request Form
Synagis Prior Authorization Request Form
Value-Based Supplemental Rebate Agreement Template
Important Pharmacy Notice of Go Live Postponement
November MHCP Pharmacy Module Modernization Project Stakeholder Meeting