offered by
MassHealth
related to
MassHealth Pharmacy Program

MassHealth Pharmacy Publications and Notices for Pharmacy Providers

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POPS Information

POPS Billing Guide (PDF 896.47 KB)
POPS Billing Guide (DOC 2.87 MB)

Billing Forms

90-Day Waiver Form (PDF 45.46 KB)
90-Day Waiver Form (TXT 3.73 KB)
Prior Authorization Forms 

Sample Copayment Poster

Sample Copayment Poster (PDF 144.67 KB)
Sample Copayment Poster (TXT 3.21 KB)
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