Single Pharmacy Benefit Administrator (SPBA)

 

Beginning July 1, 2024, a Single Pharmacy Benefit Administrator (SPBA) will begin providing pharmacy services for all health plans for Medicaid and CHIP beneficiaries. Gainwell will be responsible for prescription drug prior authorizations, claims, and processing.   

Learn more about the SPBA and access the secure prescriber portal at the link below.

Medicaid to implement single Pharmacy Benefit Administrator July 1, 2024 - Mississippi Division of Medicaid (ms.gov)

The new pharmacy processing information is as follows:

BIN #: 025151    

PCN: DRMSPROD

Gainwell’ s Pharmacy Claims and Prior Authorization Call Center Number: (833) 660-2402

Gainwell’ s Pharmacy Prior Authorization Fax Number: (866) 644-6147

 

Molina Healthcare of Mississippi Provider Services: (844) 826-4335