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
Sub Topic
FAQ ID
94676
FAQ Page
FAQ Question
Will there be an annual review of PDFs that are required as part of SPA approvals?