Medicaid generic drug reimbursement caps recommended for all products in HHS IG report.
Executive Summary
MEDICAID GENERIC REIMBURSEMENT CAP COULD SAVE $133 MIL. OVER TWO YEARS, the HHS Inspector General suggested in an Aug. 4 report on "Medicaid Pharmacy: Actual Acquisition Cost of Generic Prescription Drug Products." Based on price data for the top 200 generic products reimbursed by Medicaid, the HHS IG found that states paid an estimated $145 mil. more than the cost of the drugs. Of that total, $132.7 mil. was attributable to drugs that do not have an upper limit for Medicaid reimbursement.