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 

• AHCCCS Pharmacy Webpage

• 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 2026 meeting)

Offer Form 

• 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 

• 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 
• Each person must fill out the Public Testimony Registration Form to register.
• Please refer to the AHCCCS Pharmacy & Therapeutics Committee Operational Policy on timelines and requirements.