After a state evaluates changing reimbursement to actual acquisition cost plus an increased PDF and

The intent of the new reimbursement methodology requirements is not necessarily to result in a cost neutral outcome. The requirements are to more accurately reflect the pharmacy providers' actual prices paid to acquire drugs and the professional services required to fill a prescription. Each state's AAC reimbursement methodology and proposed professional dispensing fee will be reviewed through the SPA process to ensure they are meeting the requirements of this final rule.

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• This FAQ was released as part of a larger set. View the full set. (PDF, 205.53 KB)