Documents

View the latest documents, guidelines and reports.

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Frequently Requested Documents

Alliance Program - 2025

Annual Pharmacy License Renewal

DC Fee For Service

December 19, 2015 Transition Documents

Frequently Requested Documents

MAC

Managed Care

Newsletters

Participating Pharmacies

Payer Sheets

Policies and Guidance

Quarterly Pharmacy Provider Forum

Survey

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Frequently Requested Documents Arrow indicator
Date Document description
07/29/2026DC Alliance/Medicaid Pharmacy Provider Network
07/29/2026DC Mental Health Specialty Provider Network
07/29/2026DHCF Opioid Guidelines
07/29/2026MAC Price Research Request Form
07/29/2026District Payer Sheet - Medicaid
Payer Sheets provide details of the claim data that pharmacies must submit, and how that data will be edited in the District's claims payment system.
07/29/2026Preferred Drug List (PDL) Change Notice - January 2019
09/22/2026Specialty Pharmacy Network Application
07/29/2026Specialty Pharmacy Biosimilar Availability and Formulary Switching
07/29/2026Beneficiaries Notice - Triplicate Form Request
Alliance Program - 2025 Arrow indicator
Date Document description
07/29/2026Alliance and ICP Program Changes Document
07/29/2026Alliance Program Changes 2025 FAQs
07/29/2026DC Alliance/Medicaid Pharmacy Provider Network
07/29/2026District Alliance PA Request Form
07/29/2026Limited Alliance Formulary
07/29/2026Transmittal 25-17 - Important Update Healthcare Alliance: Transition to Generic-Only Prescribing Effective January 1, 2026
Annual Pharmacy License Renewal Arrow indicator
Date Document description
07/29/2026Pharmacy License Renewal Notification and Instructions
DC Fee For Service Arrow indicator
Date Document description
07/29/2026DC Carrier Data
07/29/2026Lock-In Program Provider Notice
07/29/2026Preferred Drug List (PDL) Change Notice - January 2019
07/29/2026Unit Dose Drug Exceptions
December 19, 2015 Transition Documents Arrow indicator
Date Document description
07/29/2026District Provider 30-Day Notice
07/29/2026District Provider 60-Day Notice
MAC Arrow indicator
Date Document description
07/29/2026SMAC Website Monthly Full Price Listing, July 2026
07/29/2026SMAC Website Weekly Price Updates, July 3, 2026
07/29/2026SMAC Website Weekly Price Updates, July 10, 2026
07/29/2026SMAC Website Weekly Price Updates, July 17, 2026
07/29/2026SMAC Website Weekly Price Updates, July 24, 2026
Managed Care Arrow indicator
Date Document description
07/29/2026Provider Notice - MCO Pharmacy Reimbursement Inquiry
07/29/2026MCO Pharmacy Reimbursement Inquiry Template
Newsletters Arrow indicator
Date Document description
07/29/2026Pharmacy Newsletter - Issue 1
07/29/2026Pharmacy Newsletter - Issue 2
07/29/2026Pharmacy Newsletter - Issue 3
07/29/2026Pharmacy Newsletter - Issue 4
07/29/2026Pharmacy Newsletter - Issue 5
09/29/2026Pharmacy Newsletter - Issue 6
Participating Pharmacies Arrow indicator
Date Document description
07/29/2026DC Mental Health Specialty Provider Network
09/22/2026FFS/Alliance Pharmacies
Payer Sheets Arrow indicator
Date Document description
07/29/2026District Payer Sheet - Medicaid
Policies and Guidance Arrow indicator
Date Document description
07/29/2026DHCF Opioid Guidelines
07/29/2026Fee for Service Returned to Stock Prescriptions Policy
07/29/2026POS Notice to Beneficiaries (English)
07/29/2026POS Notice to Beneficiaries (Spanish)
07/29/2026Revised TRPP Guidance
07/29/2026Transmittal 20-16 - Temporary Pharmacy Program Changes Due to COVID-19
07/29/2026Transmittal 21-10 (rev.) - Chronic Hepatitis C Treatment Coverage Policy: Removal of Minimum Fibrosis Score Requirement for Mavyret® and Vosevi®
07/29/2026Transmittal 21-12 - Acceptable Dispense As Written (DAW) Codes for Submitted Pharmacy Claims
07/29/2026Transmittal 21-13 - PrEP and PEP Coverage for Medicaid Beneficiaries Enrolled in MCOs
07/29/2026Transmittal 20-01 - Written Pharmacy Point of Service (POS) Notice
10/2/2026Transmittal 26-24 - Removal of Cost-Sharing in Fee For Service Medicaid for Prescription Drugs and Eyeglasses
Quarterly Pharmacy Provider Forum Arrow indicator
Date Document description
07/29/2026September 2024 Quarterly Pharmacy Provider Forum Presentation
07/29/2026December 2024 Quarterly Pharmacy Provider Forum Presentation
07/29/2026March 2025 Quarterly Pharmacy Provider Forum Presentation
07/29/2026June 2025 Quarterly Pharmacy Provider Forum Presentation
07/29/2026September 2025 Quarterly Pharmacy Provider Forum Presentation
07/29/2026December 2025 Quarterly Pharmacy Provider Forum Presentation
07/29/2026March 2026 Quarterly Pharmacy Provider Forum Presentation
07/29/2026June 2026 Quarterly Pharmacy Provider Forum Presentation
09/29/2026September 2026 Quarterly Pharmacy Provider Forum Presentation
Survey Arrow indicator
Date Document description
07/29/2026Specialty Pharmacy Biosimilar Availability and Formulary Switching