Get support for single state programs

Arizona Health Care Cost Containment System (AHCCCS) is Arizona’s Medicaid agency that offers health care programs to serve Arizona residents. Individuals must meet certain income and other requirements to obtain services. 

Useful links 

• Representatives of pharmaceutical companies, pharmacy benefit managers or a related entity must submit testimony in accordance with the AHCCCS Pharmacy & Therapeutics Committee Operational Policy. All testimony by representatives of pharmaceutical companies, pharmacy benefit managers and related entities must be submitted via a Public Testimony Registration Form. 

Manufacturer letter 

• Letter (for October 2024 meeting) 

Offer Fform 

• The Offer form provides the mechanism for you to submit your proposals for the Supplemental Rebate program. 

Line Extension form 

• The Arizona Line Extension form provides the mechanism for your company to submit line extensions for the Supplemental Rebate program. 

P&T Meeting Public Testimony Request form 

• For persons who are not representing a pharmaceutical company, pharmacy benefit manager or related entity, P&T Meeting Public Testimony may be given orally or submitted as a written document in accordance with the AHCCCS Pharmacy & Therapeutics Committee Operational Policy 
• For nonpharmaceutical representatives and related entities, each person must fill out the Public Testimony Registration Form to register and must also fill out the Conflict of Interest form. All registrations and testimony must be received 15 business days prior to the AHCCCS P&T Meeting. 
• For pharmaceutical representatives and related entities, please refer to the AHCCCS Contractors Operational Policy Manual Chapter 111 - P&T Operational Policy.