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CMS Proposal To Further Reduce Medicaid 'Best Prices' Thwarted, For Now

 
• By Cathy Kelly

The agency says it will collect additional information from manufacturers on methods for adding up price concessions from the supply chain before moving ahead.

The Proposed CMS Policy Also Could Have Deepened Discounts To 340B Providers. • Source: Shutterstock

The Centers for Medicare and Medicaid Services has put at least one of the controversial elements of a pending Medicaid pricing rule on hold.

Key Takeaways

  • CMS will not move forward with a proposal to lower the best price in Medicaid by adding together all the drug discounts provided to different members in the supply chain.

  • The agency will collect additional information from manufacturers on methods for ‘stacking’ discounts

The agency will not finalize its proposal to calculate Medicaid “best prices” by adding all the discounts and rebates on a drug that manufacturers provide to multiple

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