Idaho Medicaid Pharmacy Program

The goal of the Idaho Medicaid Pharmacy Program is to provide quality care to Medicaid participants with the most effective drug at the right price. Magellan Medicaid Administration, Inc. is the Idaho Medicaid Pharmacy Benefit Management contractor.

Idaho Medicaid Pharmacy call center
Call: 1-208-364-1829 OR toll free 1-866-827-9967 (Monday through Friday 8am to 5pm, closed on federal and state holidays)
Fax: 1-800-327-5541

  • Initiate prior authorization requests
  • For prior authorization status inquiries, call Magellan Medicaid Administration Pharmacy Support Center at 1-800-922-3987

Prior authorization fax
Fax: 1-800-327-5541

Magellan Medicaid Administration Pharmacy Support Center
Provider line: 1-800-922-3987 (available 24 hours/day, 365 days/year)
Participant line: 1-888-773-9466

  • Claims processing assistance
  • Drug coverage and payment information
  • Eligibility issues or inquiries
  • Plan limitations
  • Coordination of benefits
  • Prior authorization status

Myers and Stauffer
Phone: 1-800-591-1183
Fax: 1-317-571-8481
Email: pharmacy@mslc.com

The department has contracted with Myers and Stauffer LC, a national consulting firm, to provide assistance in establishing and maintaining an actual acquisition cost for medications.

Preferred Drug List
Idaho Medicaid Preferred Drug List with Prior Authorization Criteria

NOTE: The links to the PA forms are currently not working. Until further notice, please use the Idaho Medicaid Pharmacy Program PA forms to see an alphabetical listing of all PA forms. You can get to this library by clicking the "View Forms" button below.
Idaho Medicaid Pharmacy Program
Prior Authorization Request Forms