Why Did They Do It That Way? Prescription Drugs
Article Publication Date
Summary
The National Association of Medicaid Directors has released an issue brief discussing Medicaid prescription drug coverage.
While Medicaid prescription drug coverage is an optional benefit under federal law, all 56 Medicaid agencies have elected to provide it. However, rising costs from specialty drugs and high-earning medications are creating new budget pressures.
This issue brief explains how Medicaid pays for prescription drugs, how the Drug Rebate Program assists with controlling costs, and what policy challenges can be expected in the coming months and years.
While Medicaid prescription drug coverage is an optional benefit under federal law, all 56 Medicaid agencies have elected to provide it. However, rising costs from specialty drugs and high-earning medications are creating new budget pressures.
This issue brief explains how Medicaid pays for prescription drugs, how the Drug Rebate Program assists with controlling costs, and what policy challenges can be expected in the coming months and years.