Medicaid prescription drugs

National Conference of State Legislatures, Recent Medicaid Prescription Drug Laws and Strategies, 2001-2009, Health Program. Available online. URL http // www.ncsl.org/programs/health/medicaidrx.htm. Downloaded April 18, 2009. 

U.S. Congress, Congressional Budget Office, Question and Answers Medicaid Prescription Drug Rebates, unpublished report, Congressional Budget Office, June 1992. 

Medicaid prescription drug program. The drug manufacturer s drug would then become part of the state Medicaid preferred drug list. 

A few studies have examined the impacts of Medicaid and non-Medicaid copayments on drug utilization and health care costs. In a 1993 study, Reeder et al. noted an 11% decrease in prescription use after South Carolina established a 50-cent per prescription copayment. This increase was significantly greater than in Tennessee, a comparison state with no copayments (Reeder et al., 1993). Another study using survey data from the 1992 Medicare Beneficiary Survey found that elderly and disabled Medicaid beneficiaries who live in states with prescription drug copayments have lower prescription drug utilization than their counterparts in states without copayment, and three-fourths of the difference was directly attributed to copayment policies. The study predicted that Medicaid copayments... 

Scholesberg, C. and S. Jerath, "Fact Sheet Prescription Drug Coverage Under Medicaid," National Health Law Project, 2002 (1999). 

States have responsibility to pay for prescription drugs of Medicaid patients, those persons with too little income and too few resources to pay for their... 

The Supreme Court allows a Maine law to go into effect that requires drug companies participating in the state Medicaid program to pay supplemental rebates. The rebates reduce the costs of prescription drugs for non-Medicaid drug users. 

January 6 A government report from the Centers for Medicare and Medicaid Services shows that retail prescription drug spending rose by... 

Medicaid A federal and state partnership to provide health insurance to the needy (or those with low income and assets) that has become the only source of prescription drugs for many. 

Crowley, Jeffrey S., Deb Ashner, and Linda Elam. State Medicaid Outpatient Prescription Drug Policies Findings from a National Survey, 2005 Update. Kaiser Commission on Medicaid and the Uninsured. Available online. URL http //www.kff.org/medicaid/upload/State-Medicaid-Outpatient-Prescription-Drug-Policies-Findings-from-a-National-Survey-2005-Update-report.pdf. Posted October 2005. The results of this survey of 36 states describe how they control Medicaid costs for prescription drugs. Some states put limits on the number of prescriptions or refills that beneficiaries may receive, but others are developing policies that do not deny benefits. They instead require clinical justification for the additional drugs. This report discusses these and other policies in some detail. 

Cunningham, Peter J. Medicaid Cost Containment and Access to Prescription Drugs. Health Affairs 24, no. 3 (2005) 780-789. States have attempted to control the costs they must pay for Medicaid by limiting... 

Smith, Mickey C., ed. Studies in Pharmaceutical Economics. New York Haworth Press, 1996. Although a bit dated, the issues addressed here generally apply today. For example, chapters on Medicaid drug cost containment, insurance coverage and physician prescribing, and the economics of prescription drug advertising continue to have relevance. The technical nature of the material makes it of most interests to scholars and academics, however. 

Its mission is to ensure effective, up-to-date health care coverage and quality care for beneficiaries of Medicare and Medicaid, two programs that provide prescription drug benefits. 

In his JAMA editorial, Coyle offered another reason for the increase in prescription drug use in that age group. He explained that reduced financing for state Medicaid programs have caused those programs to limit what they pay for the evaluation of behavioral disorders in children. 

Many third parties hire pharmacy benefit managers (PBMs) to provide prescription claims processing and other services. Examples of third parties that hire PBMs are insurance companies, employers, Medicare prescription drug plans, and state Medicaid programs. PBMs establish pharmacy networks as part of their claims management services, so many pharmacy third-party contracts are with PBMs. Examples of other ser-... 

Office of the Inspector General (OIG). 2001. Medicaid pharmacy Actual acquisition cost of brand name prescription drug products. Report A-06-00-00023. Washington, DC OIG, August, 2001. 

People receiving Medicaid and individuals receiving the lower-income subsidy will benefit from Medicare Part D plans because their enrollment is subsidized fully or to some extent. Individuals receiving the low-income subsidy are those least likely to have other insurance and have difficulty paying case prices for prescription drugs. 

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