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Medicaid Prescription Drugs under the DRA

Sections 6001, 6002, and 6003 of the Deficit Reduction Act of 2005 (DRA) made significant changes to the Medicaid prescription drug provisions of the Social Security Act.  These changes include revising the definition of average manufacturer price (AMP), establishing a new formula for calculating Federal upper limits (FULs), requiring rebates for certain physician-administered drugs, and clarifying rebate liability for authorized generic drugs.  

We have provided several resources and documents that will help stakeholders understand the impact of these provisions on the Medicaid program and keep informed about how CMS is implementing these provisions.  These materials can be found on the Deficit Reduction Act web section by clicking on the link below.

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Medicaid Prescription Drugs under the DRA

CMS-2238-FC Medicaid Program: Prescription Drugs - Published July 17, 2007

CMS-2238-F Medicaid Program: Multiple Source Drug Definition - Published October 7, 2008
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Page Last Modified: 12/04/2008 11:17:26 AM
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