Due to the government shutdown, updates to information on this website may be limited or delayed. State Medicaid and Children’s Health Insurance Programs (CHIP) continue to operate. Continue to work with the programs in your state to access coverage. For more information about government operating status, visit OPM.gov.

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Prescription Drugs

Medicaid is a joint Federal-State program that pays for medical assistance for individuals and families with low incomes and relatively few assets.  Although pharmacy coverage is an optional benefit under federal Medicaid law, all states currently provide coverage for outpatient prescription drugs to all categorically eligible individuals and most other enrollees within their state Medicaid programs.

The Medicaid prescription drug programs include the management, development and administration of systems, and data collection necessary to operate the Medicaid Drug Rebate program, the Federal Upper Limit calculation for generic drugs, and the Drug Utilization Review program.

Policy and Program Topics

 

Resource Mailboxes

For more information, access Manufacturer Release 107 and State Release 184