This SPA revises the reimbursement rates on the state’s Pharmacy State Plan pages. The change incorporates maximum allowable cost (MAC) into the lesser-of reimbursement methodology. Additionally, the reimbursement rate for the lowest two professional dispensing fee tiers (pharmacies with the highest annual prescription volume) will be adjusted from $10.25 to $9.93 and $9.31 to $8.72.
State
Topics
Approval Date
Effective Date
File 1 - Approval Document Media