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M.O.M 
MAC Operation Manual

Guide to a successful MAC appeal process

In-Store Help

Onsite training 

Identify Eligible Claims

Either identifying claims at 

adjudication or running reports.

Initial Appeals

Contacting the PBM directly for fair reimbursement

PBM Complaints

Fight against unfair practices of PBMs. 

Personalized

Establish workflow that fits

your pharmacy's needs.

Updates

Notification on any updates or new processes. 

External Appeals

Submit appeals to a third-party reviewer.

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