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Texas to Modernize Medicaid Rx Benefits, Curb Pharmacy Overpayments
Date:12/14/2011

sector.

Many state Medicaid programs pay too much for prescription drugs because they use an archaic, fee-for-service approach in which state officials set payment rates and are therefore constantly lobbied to inflate them by special interests, like pharmacists. To avoid this trap, most non-Medicaid drug benefits programs – like those offered by Medicare, employers, and unions – rely upon independent, third party pharmacy benefit experts to negotiate competitive rates with pharmacies. These programs also reduce costs by employing cutting-edge, market-proven strategies to increase the use of generics.


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SOURCE Pharmaceutical Care Management Association
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