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Prescription Drug Pricing Under the Pennsylvania Medical Assistance Managed Care Program (PDF)
Legislative Budget and Finance Committee, Pennsylvania General Assembly
Feb. 28, 2023 114 pages. "[The] objectives for this study were ... [1] To provide an overview of the distribution of and payment for pharmaceuticals in the medical assistance managed care program. [2] To review the reimbursement practices of pharmacy benefit managers [PBMs] to pharmacies within this Commonwealth. [3] To review the reimbursement practices of managed care organizations to [PBMs]. [4] To investigate and compare the reimbursement rates paid by [PBMs] to independent pharmacies and chain pharmacies. [5] To study the best practices and laws adopted by other states to address concerns with pharmacy reimbursement practices of [PBMs]." MORE >> |
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