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State Maximum Allowable Cost (SMAC)

Change Healthcare SMAC solution assists the State in establishing SMAC rates using CMS approved methodology. Through our tool, the rate is applied to both brand and generic drug products in each drug group. Proven for over a decade, this process saves millions through effective drug pricing.

Maximize cost savings through aggressive SMAC rate setting.
optimize-reimbursement

Review Pricing Consistently

Our smart tool reviews SMAC prices and makes revisions to rates to reflect changes in drug availability and current pricing. New drugs will be added to the SMAC list as they are identified.

increase-costs

Recoup Lost Revenue

SMAC prices may be adjusted retroactively based upon submission of provider documentation. With our system, the pharmacy provider has the ability to access these changes and reprocess claims when appropriate.