CMS Issues Medicaid Drug Rebate and Reimbursement Rule

This week, our In Focus section reviews the Covered Outpatient Drugs final rule published by the Centers for Medicare & Medicaid Services (CMS) on January 21, 2016, addressing Medicaid drug reimbursement and changes to the Medicaid Drug Rebate Program. The rule finalizes several provisions of the Affordable Care Act (ACA) and addresses three goals: assisting states and the federal government in managing drug costs, establishing the sustainability of the Medicaid Drug Rebate Program, and creating a fairer pharmacy reimbursement system. The full Covered Outpatient Drugs rule is available in a pre-publication version online until February 1, 2016, when it will be published on the Federal Register website. A link to the pre-publication version is available here.

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