Pharmacy Services / DME

Click here for the 9/26/19 presentation, "Medicaid Pharmacy Reimbursement".


On May 1, 2019, the Alabama Medicaid Agency implemented a "Cumulative MME Edit" for opioid-experienced recipients.

On November 1, 2018, the Alabama Medicaid Agency implemented limits on short-acting opiates for opioid naïve recipients.

Pharmacy and Durable Medical Equipment (DME) services are administered by Medicaid's Clinical Services and Support Division.  In Fiscal Year 2015, approximately 600,000 recipients received almost 7 million prescriptions.  The Alabama Medicaid Agency pays for most medicines legally prescribed by a doctor or authorized health professional when dispensed by a licensed doctor or pharmacist in accordance with state and federal laws.

Pharmacy Information
Durable Medical Equipment (DME)
Additional Resources