Medicaid Pharmacy Provider Information
Payer Sheets - Version 5.1
- North Dakota Medicaid (June 2006) (260 kb pdf)
- North Dakota Children's Special Health Services (June 2006) (260 kb pdf)
- North Dakota Aids Drug Assistance Program (April 2005) (300kb pdf)
Payer Sheets - Version D.0
- Bill - Rebill (December 2011)
- Claim Reversal (December 2011)
If you have pharmacy questions, you may e-mail them to dhsmed@nd.gov. If you have pharmacy billing questions, please contact provider relations at (701) 328-4043.
Top of page 
Back to previous page
