Missouri HealthNet Professional Dispensing Fee Survey - July & August 2019

**Update July 10, 2019**

The survey period is now open. Surveys are due by August 16, 2019.

We will be holding a technical assistance webinar on Monday, July 22 at 11:00 AM CST. This webinar will explain the various formats for completing the survey, how to submit surveys, and answer any further questions attendees may have. To attend the webinar, please use this link: https://mmc.webex.com/mmc/onstage/g.php?MTID=eafbd1a158acbc51f430e96b383267ee3

Instructions for the survey can be accessed here: [Survey Instructions]

  • Specialty pharmacies should complete the specialty dispensing section only if at least 25% of your location's total fills are specialty. Generally, specialty drugs:
    • Require comprehensive patient care services, clinical management, and product support services criteria
    • Are prescribed for complex, chronic, or rare medical conditions
    • Are not routinely stocked at a majority of community retail pharmacies
    • Require special handling, storage, inventory, or distribution requirements
    • Require complex education and treatment maintenance
  • To determine what drugs to consider specialty for this survey, please refer to this list: [Specialty List]
  • Pharmacies that do not dispense at least 25% specialty may skip the specialty section of the survey.
  • The specialty section requests details for percentage of staff time spent on dispensing activities separate from ancillary activities.
    • Definitions are in the instructions and also copied below:
    • Dispensing services: "Includes only pharmacy costs associated with ensuring that possession of the appropriate covered outpatient drug is transferred to a Medicaid beneficiary. Pharmacy costs include, but are not limited to, reasonable costs associated with a pharmacist's time in checking the computer for information about an individual's coverage, performing drug utilization review and preferred drug list review activities, measurement or mixing of the covered outpatient drug, filling the container, beneficiary counseling, physically providing the completed prescription to the Medicaid beneficiary, delivery, special packaging, and overhead associated with maintaining the facility and equipment necessary to operate the pharmacy" 42 CFR 447.502
    • Ancillary services: "Common services that could be covered [as billable medical services] include medical assessments, disease and dietary education, instruction in health self-management, and medical monitoring." -from CMS Medicaid Drug Rebate Program Notice, Release 182, 6/30/2017.

Independent pharmacies - To complete the survey in our online tool, use the username and password in the letter you received in the US Mail on or about July 10, access the survey at this link: https://survey.mercer.com/MOHealthNet2019.survey.
If you did not receive a letter with username and password but would like to use the tool, please email RxSurvey@mercer.com.

Chain pharmacies and others who would prefer not to use the online tool - You may complete the survey using one of our Excel templates. Please email completed Excel surveys to RxSurvey@mercer.com.

To download a template meant for smaller chains, click here [Excel survey - multi tab]

To download a template meant for larger chains, click here [Excel survey - one tab]

For questions, please email RxSurvey@mercer.com or call 1-800-531-1328