Department of Health and Human Services

Office of Inspector General -- AUDIT

"Audit of Six Ulcer Treatment Drugs Reimbursed Under the Pennsylvania Medicaid Prescription Drug Program," (A-06-92-00010)

June 30, 1992

Complete Text of Report is available in PDF format (1.11 MB). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.

The OBRA '90 requires State Medicaid agencies to assess drug use review programs on an ongoing basis. These programs are intended to assess actual patient drug use against predetermined standards. One of the standards recognized by OBRA '90 is manufacturers' recommended dosages. Our review showed that about $6.53 million (Federal share $3.71 million) in cost savings could have been realized for Calendar Year 1990 had the State agency limited payment for these drugs to the amount needed to pay for the manufacturers' recommended dosages.