Pharmacy
Prior Authorization For Prescriptions Change Notice
Effective July 1, 2024, Mississippi Medicaid is moving to a single pharmacy claims processor for all prescription claims filled by Mississippi Medicaid beneficiarieis. Pharmacy claims and prior authorizations will be processed by Gainwell Technologies (GWT).
Pharmacy Prior Authorization requests may be submitted to GWT electronically via the MESA provider portal or by fax:
- Electronically: https://portal.MS-Medicaid-MESA/com/MS/Provider
- Facsimile: 1-866-644-6147
For questions regarding pharmacy prior authorizations, please contact GWT at 833-660-2402.
Magnolia Health is committed to providing appropriate, high-quality, and cost-effective drug therapy to all Magnolia Health members. Prescription medications and certain over-the-counter medications are covered with a written order from a Mississippi Medicaid provider. The pharmacy program does not cover all medications. Some medications may require prior authorization and some may have limitations. Other medically necessary pharmacy services are covered as well.
Use our Medicaid Preferred Drug List (Link) to find more information on the drugs that are covered.
- Preferred Drug List (PDL) (PDF)
- Division of Medicaid Preferred Drug List Changes
- Division of Medicaid - Pharmacy Resources
- Prior Authorization Forms
- Pharmacy Reimbursement
- Manual Prior Authorization Criteria
- 90-Day Maintenance List