Tag Archives: NADAC

Changes in pharmacy reimbursement

Big changes are occurring in Medicaid reimbursement for prescriptions and, surprisingly, this has received little attention in the pharmacy press.  Medicaid agencies in 9 states have switched from reimbursement based on Average Wholesale Price (AWP), which provides pharmacies’ with bigger profits on more expensive drugs, to one based on pharmacies’ actual acquisition costs (AAC), where profits are determined by the dispensing fee.  If this trend spreads to private payers, it could have a huge impact on pharmacies’ profits and viability. Continue reading