Protecting Pharmacies in Medicaid Act ensures accurate payments to pharmacies under Medicaid and prevents abusive spread pricing practices.
The Protecting Pharmacies in Medicaid Act amends title XIX of the Social Security Act to ensure accurate payments to pharmacies under Medicaid and to prevent the use of abusive spread pricing practices. It requires that payment for covered outpatient drugs be based on a transparent prescription drug pass-through pricing model. The bill also mandates that the Secretary of Health and Human Services publish guidance on applicable non-retail pharmacies and conduct surveys to determine national average drug acquisition cost benchmarks.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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