The MDP system will consolidate and replace the existing Medicaid Drug Rebate system, Federal Upper Limit
calculation for generic drug processes, and also the Drug Data Reporting for Medicaid system of the Medicaid and CHIP Business Information Solution.
For certain outpatient prescription drugs, state Medicaid programs may only receive federal matching funds for reimbursements up to a maximum amount known as a federal upper limit
Until the reimbursement rate is adjusted through legislation or a new CMS proposal Medicaid prescriptions will continue to be reimbursed at the Federal Upper Limit
of 150% of a drug's published price.
The federal upper limit
price for a 40-mg tablet of generic lovastatin, the largest formulation available, is $192.
Elsevier, a world-leading provider of scientific, technical and medical information products and services, today announced that its Gold Standard Drug Database (GSDD) incorporated the pricing data for the federal governments new drug pricing benchmark, Affordable Care Act Federal Upper Limit
(ACA-FUL) on the same day the government made it available, enabling Elsevier GSDD customers to react quickly to any indication of price movement.
A few day after the ruling the two sides came to an agreement that calls for Medicaid prescriptions filled with generics to be reimbursed using the Federal Upper Limit
(FUL), a program created in 1987 that set the amount that Medicaid could reimburse with available generic drugs.
The rule, developed by the Centers for Medicare and Medicaid Services (CMS), provides incentives to pharmacies to dispense generics through regular updates of the federal upper limit
The Health division of Wolters Kluwer, a leading global provider of information and point of care solutions for the healthcare industry, announced today that customers can access the newly-released Affordable Care Act Federal Upper Limit
drug pricing benchmark, or ACA FUL, through two solutions from its Wolters Kluwer Clinical Drug Information business unit.
The issuance of the injunction also meant that Medicaid prescriptions would continue to be reimbursed at the Federal Upper Limit
of 150% of the published price.
The rule incentivizes pharmacies to dispense generics through regular updates of the federal upper limit