U.S. flag

An official website of the United States government

Is there a possibility for a product to have an FUL and not a NADAC?

CMS will not publish a FUL price for a FUL product group where the agency does not have a corresponding NADAC to compare to the 175 percent of the weighted average of AMPs for the FUL product group. For further information please see the Methodology and Data Elements Guide on the Medicaid.gov website at on the Medicaid.gov website at https://www.medicaid.gov/Medicaid-CHIP-Program-Information/ByTopics/Benefits/Prescription-Drugs/Federal-Upper-Limits.html.

Supplemental Links:

Date
FAQ ID
94741
FAQ Question
Is there a possibility for a product to have an FUL and not a NADAC?