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History. Prescription drug monitoring programs, or PDMPs, are an example of one initiative proposed to alleviate effects of the opioid crisis. The programs are designed to restrict prescription drug abuse by limiting a patient's ability to obtain similar prescriptions from multiple providers (i.e. “doctor shopping”) and reducing diversion of controlled substances.
The Medicaid Drug Rebate Program is a program in the United States that was created by the Omnibus Budget Reconciliation Act of 1990 (OBRA'90). The program establishes mandatory rebates that drug manufacturers must pay state Medicaid agencies related to the dispensing of outpatient prescription drugs covered by Medicaid .
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The National Council for Prescription Drug Programs ( NCPDP) is an American nonprofit standards development organization representing most sectors of the U.S. pharmacy services industry. It was founded in 1977 as the extension of a Drug Ad Hoc Committee that made recommendations for the U.S. National Drug Code (NDC).
Additionally, an analysis of changes in mortality post Medicaid expansion suggests that Medicaid saves lives at a relatively more cost effective rate of a societal cost of $327,000 to $867,000 (equivalent to $415,143 to $1.1 million in 2023) per life saved compared to other public policies which cost an average of $7.6 million (equivalent to $9 ...
April 25, 2024 at 7:10 AM. Walgreens ( WBA) is standing up a new specialty pharmacy segment to compete in an increasingly crowded pharmacy benefits manager (PBM) and specialty pharmacy space. The ...
Medicare + Medicaid. Some MA plans cover both Medicare and Medicaid services for people who are eligible for both. To be eligible both Medicare and Medicaid coverage, often referred to as "dual eligibility," individuals must meet specific eligibility criteria for each program separately.
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