tci Medicare Compliance & Reimbursement - 2007 Issue 32

PHARMACIES: Medicaid Rate Proposal Could Come Back To Haunt Part D

Fair pay for pharmacies at stake in new legislation.A new Senate bill could help guard you from next year's planned slashes in what the feds will pay you for generics.The bill, the Fair Medicaid Drug Payment Act of 2007 (S. 1951), would alter a new federal rule affecting Medicaid drug reimbursements. Set to take effect in January, the rule will cut generic payments to retail pharmacies to below cost.Evidence: A report earlier this year from the Government Accountability Office (GAO) concluded that the reimbursement rate for pharmacists under the new rule would be on average 36...

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