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Health Care Reform's Pricing Impact: 340B Purchasers See Initial 10% Decline in Brand Prices

 
• By Michael McCaughan

How big an impact do the new Medicaid rebate rules have on prices? There's now way to tell for sure, but prices files analyzed for the 340B program offer a pretty good clue.

Two things are clear about the changes to the Medicaid rebate program under health care reform. First, brand name manufacturers are paying a lot more in rebates than they were before enactment of the Patient Protection and Affordable Care Act in 2010. And second, it is devilishly hard for outsiders to know exactly how big an impact the changes have on any specific product or company.

Manufacturers have disclosed the overall hit to revenues from the interlocking changes to the Medicaid rebate formula, and it is...

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