This amendment proposed to amend the State's approved Title XIX State Plan to reduce the maximum allowable cost paid for selected multi-source drugs from average wholesale price (AWP)-40% to AWP-45 %; require pharmacy providers to obtain prior authorization for certain drugs that are either high cost, subject to misuse or subject to excessive or inappropriate utilization, as determined by the State; change the prior authorization requirements for early refills from 75% to 85% of days supply; and allow the dispensing of an automatic fourteen (14) day supply of a drug when no prior authorization has been requested and granted.
State
Approval Date
Effective Date
File 1 - Approval Document Media