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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

Branded Prescription Drug (BPD) Program 
MedicaidBPD@cms.hhs.gov 
 
Dispute Resolution Program 
DRP@cms.hhs.gov 
 
Medicaid Drug Programs (MDP) Access 
MDP@cms.hhs.gov
 
Drug Utilization Review Program
CMSDUR@cms.hhs.gov
Federal Upper Limit Program
FUL@cms.hhs.gov
 
Medicaid Drug Rebate Change Requests
MDRPChangeRequests@cms.hhs.gov
 
Medicaid Drug Rebate Compliance
MDRPCompliance@cms.hhs.gov
 
Medicaid Drug Rebate Operations
MDROperations@cms.hhs.gov
 
Medicaid Prescription Drug Programs Policy
RxDrugPolicy@cms.hhs.gov
 
National Average Drug Acquisition Costs
RPS@cms.hhs.gov
 
National Drug Rebate Agreement
DrugRebateAgreement@cms.hhs.gov
 
State Drug Utilization Data               
MDRUtilization@cms.hhs.gov
For more information, access Manufacturer Release 107 and State Release 184