CMS released its 658-page Covered Outpatient Drug Rule in January, outlining how states are to reimburse pharmacies for prescription Drugs. MPhA is reviewing various interpretations of that rule and we have met with Sara Drake, Pharmacy Program Director for Minnesota Department of Human Services, to better understand the impact of that rule on Medicaid reimbursement in Minnesota. Our current understanding of this rule is that Minnesota will be required to change the reimbursement methodology and the dispensing fee for both generic and brand name drugs for community pharmacies. It is most likely that this action will happen in the 2017 legislative session. Sara Drake and Dave Hoang from the Minnesota Department of Human Services will host a round table on this issue during Minnesota Pharmacy Legislative Day on April 5; Sara will also speak and take questions during the evening session for those who cannot participate in the full program.
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