Establishes the "Equitable Drug Pricing and Patient Access Act" to ensure fair reimbursement rates for Medicaid prescription drugs.
The "Equitable Drug Pricing and Patient Access Act" sets a minimum reimbursement rate for prescription drug services in Medicaid, ensuring it is no less than the national average drug acquisition cost plus a Medicaid fee-for-service. The act mandates that Medicaid managed care contracts include pharmacy choice as a required benefit, allowing enrollees to choose any qualified pharmacy. It also requires the State Auditor to audit pharmacy pricing practices within the Medicaid program to determine potential savings.
Included in complete analysis
- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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