WAC 182-530-7300. Reimbursement — Requesting a change

Upon request from a provider, the medicaid agency may reimburse at the provider's actual acquisition cost (AAC) for a drug that would otherwise be reimbursed at maximum allowable cost (MAC) when: (1) The availability of lower cost equivalents in the marketplace is severely curtailed and the price disparity between AAC for the drug and the MAC reimbursement affects clients' access; and (2) An invoice documenting AAC relevant to the date the drug was dispensed is provided to the agency.