No, CMS will not perform an annual review of PDFs; however, states must consider both the ingredient cost reimbursement and the PDF reimbursement when proposing changes to ensure that total reimbursement to the pharmacy provider is calculated in accordance with requirements of section 1902(a)(30)(A) of the Act.
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Date
Topic
Prescription Drug Program
Sub Topic
Prescription Drug Program
FAQ ID
94676
FAQ Page
Frequently Asked Questions
FAQ Question
Will there be an annual review of PDFs that are required as part of SPA approvals?