does medicaid reimburse patients for prescriptions

Eric Sagnowsky, Louisiana Has Picked its ‘Netflix’ Hepatitis C Partner: Gilead’s New Generics Unit, https://www.fiercepharma.com/pharma/louisiana-picks-gilead-subsidiary-to-partner-netflix-model-for-hep-c-drugs, Martha Bebinger, Baker Outlines Steps to Lower Medicaid Drug Prices, https://www.nepr.net/post/baker-outlines-steps-lower-medicaid-drug-prices#stream/0. . Prescription coverage is available to recipients. Exclusions. For drugs for which NADAC is not reported and the maximum allowable cost is not calculated: The ingredient cost is adjusted to account for the Minnesota Wholesale Drug Tax. “FDA ‘Confident’ that Interchangeable Insulin Will Be Available After March 2020,” FDANews Drug Daily Bulletin, December 21, 2018, https://www.fdanews.com/articles/189628-fda-confident-that-interchangeable-insulin-will-be-available-after-march-2020. The pharmacy’s usual and customary charge to the general public. Statutory and supplemental rebates account for a sizeable share of gross prescription drug spending, accounting for 55% of aggregate drug spending in 2017 (Figure 1).10 In recent years, rebates as a share of gross Medicaid drug spending have increased (Figure 1), leading to flat or declining net Medicaid spending for prescription drugs. These resources provide an overview of federal Medicaid prescription drug policies that directly influence states’ reimbursement of prescription drugs, including an in-depth look into each state’s coverage and reimbursement methodologies as provided in the state’s Medicaid plan. Professional Dispensing fee is based on annual prescription volume: Ingredient cost for legend, non-legend, specialty drugs, long term care pharmacies, and clotting factor is the lower of: (Reimbursement for claims that pay GAD or U&C do not include the $10.65 PDF). MACPAC, Improving Operations of the Medicaid Drug Rebate Program, June 2018, https://www.macpac.gov/publication/improving-operations-of-the-medicaid-drug-rebate-program/. Medicare won't pay for any services or items, including transplant drugs, for patients who aren't entitled to Medicare. 1. Drugs purchased through the 34OB program and provided by a covered entity, payment shall be limited to the provider's actual acquisition cost for purchasing the medication, plus a professional dispensing fee of $10.50. Ingredient costs of legend and nonlegend drugs: If NADAC is not available for a specific drug: Ingredient cost will be reimbursed the lowest of: Ingredient cost for legend, non-legend, specialty drugs, long-term care is the lower of: Dispensing fee is $4.24 to $5.25 (based on 3- tiered pharmacy volume), Drugs purchased by CE’s reimbursed lower of AAC plus the PDF. Medicaid reimburses pharmacies for the cost of drugs dispensed to beneficiaries based on the actual acquisition cost (AAC) for a drug. In addition, Medicaid managed care plans may negotiate their own rebate agreements with manufacturers. AWP minus 16% (multi-source drugs with four or fewer manufacturers/labelers); AWP minus 50% (multi-source drugs with five or more manufacturers/labelers and no MAC or FUL); 340B covered entity (including I/T/U) pharmacies will receive AAC ingredient cost (not to exceed the 340B ceiling price) plus PDF, Drugs purchased outside of 340B program by CE’s = AAC. Policies to make pricing information more broadly available, The FDA has taken steps and announced plans to increase competition among generics. At the federal level, the Trump Administration has proposed or undertaken a number of actions targeted at prescription drug costs, many of which have implications for Medicaid.29 Congress is considering a host of legislative proposals related to prescription drugs, such as action to make technical changes to Medicaid rebate rules. 1. See also “Attachment 4 – Generic Drug Substitution Policies” in state DUR Reports, https://www.medicaid.gov/medicaid/prescription-drugs/drug-utilization-review/annual-reports/index.html. Zachary Brennan, “FDA Sets Record for Number of Generic Drug Approvals Again,” October 11, 2018, https://www.raps.org/news-and-articles/news-articles/2018/10/fda-sets-record-number-of-generic-drug-approvals-a. Carolyn Y. Johnson, “Louisiana adopts ‘Netflix’ model to pay for hepatitis C drugs,” Washington Post, January 10, 2019, https://www.washingtonpost.com/health/2019/01/10/louisiana-adopts-netflix-model-pay-hepatitis-c-drugs/?utm_term=.b962a75edc5d. Due to Medicaid’s role in financing coverage for high-need populations, it pays for a disproportionate share of some high cost specialty drugs, and due to the structure of pharmacy benefit, Medicaid must cover upcoming “blockbuster” drugs. There are some exceptions to this rule. (See the Medicare Benefit Policy Manual, Chapter 16, “General Exclusions from Coverage,” §20.) Medicare reimburses eligible prescription drug costs directly. PAD - CADDs reimbursed the lesser of the National Average Drug Acquisition Cost (NADAC), the Wholesale Acquisition Cost (WAC) + 0% or the providers’ usual and customary charges to the general public, $11.10 for pharmacies with annual prescription volume > 70,000, $13.12 for pharmacies with annual prescription volume 40,000 – 69,999, $15.14 for pharmacies with annual prescription volume 0 – 39,999. States that use PBMs in administering the prescription drug benefit in a fee-for-service setting pay the PBM administrative fees for these services. Although Medicaid is a federal program, each state has its own guidelines and requirements for eligibility. Katherine Young. 1396r-8 (c). Long-Term Care Benefits. Growth in both utilization and spending was higher from 2014-2015 than from 2015-2017. State Maximum Allowable Costs are upper limits states apply to multiple-source drugs included on state maximum allowable cost lists. State Medicaid programs reimburse pharmacies for prescription drugs based on the ingredient costs for the drug and a dispensing fee for filling the prescription. However, these aggregate amounts belie underlying changes in utilization patterns and spending for Medicaid prescription drugs. Most commercially insured patients pay between $10 and $75 per month for FreeStyle Libre 2 sensors. Participating manufacturers pay rebates directly to states, and states retain a share of the rebate in proportion to their share of the cost of the drug (based on the federal matching rate). Most commercially insured patients pay between $10 and $75 per month for FreeStyle Libre 2 sensors. States generally rely on two, intersecting levers to do so: 1) use of managed care and/or pharmacy benefit managers (PBMS) and 2) utilization controls. The ingredient cost for Brand Name Drugs is the lower of: The ingredient cost for Generic Drugs is the lower of: Professional Dispensing Fee varies by claims volume; Ingredient cost for brand drugs is the lower of: Ingredient cost for generic is the lower of: Reimbursement for compounded prescriptions. The Submitted Ingredient Cost dispensing fee, $10.02 plus 2.75 cents per unit for 340B Clotting Factor, A rate set by the Division of Medicaid’s rate-setting vendor when no NADAC or WAC are available, or. and%20Its%20Impact%20on%20the%20U.S.%20Health%20Care%20System%20(Full%20Report).pdf. Kaiser Family Foundation, February 2019, https://www.kff.org/medicaid/issue-brief/utilization-and-spending-trends-in-medicaid-outpatient-prescription-drugs/. Katherine Young and Rachel Garfield. While Medicare and Medicaid are similar programs, there offer different challenges when it comes to reimbursement. June 09, 2017 - Medicare and Medicaid are government healthcare programs that help individuals acquire coverage, but similarities between the programs more or less end there. A federal government managed website by theCenters for Medicare & Medicaid Services.7500 Security Boulevard Baltimore, MD 21244. Under some of these arrangements, states pay MCOs a monthly fee (capitation rate) to cover the cost of services provided to enrollees and any administrative expenses. When medically necessary and patient cannot be transported by any other type of transportation. Additionally, although biosimilar competition does lower the price of biologics, it does so to a lesser degree compared with the effect of generic entry on small-molecule drug market.27 As a result, Medicaid spending on biologics (14% of prescription drug spending) is outsized compared to the number of prescriptions that Medicaid fills (less than 1 percent of total Medicaid prescriptions).28. Some states have targeted the rising cost of generics including proposed laws to prevent price gouging and lawsuits to recoup damages from alleged collusion in price increases. Though generic drugs account for the large majority of drug utilization in Medicaid – 86% of prescriptions in 2017 — brand name drugs accounted for 79% of drug spending. 3 Medicaid … Though the pharmacy benefit is a state option, all states cover it, and, within federal guidelines about pricing and rebates, administer pharmacy benefits in different ways. MACStats: Medicaid and CHIP Data Book, MACPAC, December 2018, “Exhibit 28: Medicaid Gross Spending and Rebates for Drug by Delivery System, FY 2017 (millions)”, https://www.macpac.gov/wp-content/uploads/2018/12/December-2018-MACStats-Data-Book.pdf. The Georgia Maximum Allowable Cost (GMAC). You can view the HFS Medicaid Reimbursement page by selecting the link below: Ambulatory Procedures Listing; Audiology (pdf) Birth Center Fee Schedule The Maximum Allowable Ingredient Cost (MAIC). Enrollees in mainstream Medicaid Managed Care and Family Health Plus plans receive pharmacy … The Administration has called for a new Medicaid demonstration authority limited to five states that would allow state Medicaid agencies to create their own Medicaid formularies. 1396r-8 (c)(1)(C). $10.11 for CMS Covered Outpatient Drugs including specialty medications; $9.00 for brand and non-preferred brands; or when no NADAC is available, the WAC plus 0%; or. AAC (340B, 340B physician administered drugs, FSS, Nominal Price); Drugs purchased by 340B covered entities through the federal 340B program will be paid at ingredient cost 340B AAC, Drugs purchased by 340B CE’s outside of the federal 340B program = AAC, Payment limit shown in Medicare Part B pricing file, minus the furnishing fee. “Patient Affordability Value and Efficiency Act,” https://www.cassidy.senate.gov/imo/media/doc/PAVE%20Act.pdf. Other policy proposals include elimination of the drug rebate cap, which would increase the rebates due to the inflationary component, and creation of a grace period following introduction of new drugs during which states are not required to cover that drug. for specialty drugs including but not limited to biologics and limited distribution drugs is $17.03. “Assuring Medicaid Beneficiaries Access to Hepatitis C (HCV) Drugs,” Medicaid Drug Rebate Program Notice, CMS, November 5, 2015, https://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Benefits/Prescription-Drugs/Downloads/RxReleases/State-Releases/state-rel-172.pdf. Medicaid can provide secondary insurance: For services covered by Medicare and Medicaid (such as doctors’ visits, hospital care, home care, and skilled nursing facility care), Medicare is the primary payer.Medicaid … Medicare Part D, also called the Medicare prescription drug benefit, is an optional federal -government program to help Medicare beneficiaries pay for prescription drugs not covered under Part B through … Jennifer Reck, “Oklahoma Signs the Nation’s First State Medicaid Value-Based Contracts for Rx Drugs,” September 25 2018, NASHP, https://nashp.org/oklahoma-signs-first-medicaid-value-based-contracts-for-rx-drugs/. ‡ 1 out of 2 of commercially insured new patients starting on other CGMs pay more than $150 at retail pharmacy for a one-month supply of sensors. Drugs or PADs without ASP are reimbursed at WAC. 3 Medicaid agencies do … You can view the HFS Medicaid Reimbursement page by selecting the link below: Ambulatory Procedures Listing; Audiology (pdf) Birth Center Fee Schedule 42 U.S.C. Pfizer, Inc. v. Texas Health and Human Services Commission, and Charles Smith, Executive Commissioner, Findings and Facts and Conclusions of Law, In the United States District Court for the Western District of Texas Austin Division, Filed September 29, 2017. Brand Name Drugs: the lesser of the pharmacies’ U&C, AAC, or WAC. Although pharmacy coverage is an optional benefit under federal Medicaid law, all states currently provide coverage for outpatient prescription drugs to all categorically eligible individuals and most other enrollees within their state Medicaid programs. 20, February 1, 2016, https://www.gpo.gov/fdsys/pkg/FR-2016-02-01/pdf/2016-01274.pdf. Medicaid reimburses pharmacies for the cost of drugs dispensed to beneficiaries based on the actual acquisition cost (AAC) for a drug. Negotiate greater supplemental rebates from manufacturers: Trump Administration actions/proposals:35. States are not required to cover prescription drugs under Medicaid, but all states opt to include this service in Medicaid. Reimbursement for legend and non-legend drugs shall not exceed the lowest of: The Select Specialty Pharmacy Rate (SSPR), Professional Dispensing fee is $10.63 for pharmacies, Professional Dispensing fee is $10.76 per prescription. Medicaid provides health coverage for millions of Americans, including many with substantial health needs. Less than 60,000 total prescriptions filled per year = $13.40, Between 60,000 and 90,000 total prescriptions filled per year = $11.49, Between 90,000 and 110,000 total prescriptions filled per year = $10.25, Greater than 110,000 total prescriptions filled per year = $9.31, PAD is 100% of the Medicare Average Sale Price (ASP). Nominal Price = No more than AAC for the drug. Because most manufacturers participate in the Medicaid Drug Rebate Program,13 Medicaid essentially maintains an open formulary in which, states are required to provide nearly all prescribed drugs made by manufacturers.14,15 However, state Medicaid programs have used drug utilization management techniques to contain pharmacy costs for many years. Of the 39 states contracting with comprehensive risk-based MCOs in 2018, 35 states reported that the pharmacy benefit was carved in, with some states reporting exceptions such as high-cost or specialty drugs.11. Does Medicaid pay for nursing home care? Prior authorization is not normally required for wheelchair vans, but certification of necessity is required. . After a sharp spike in 2014 due to specialty drugs and expansion under the Affordable Care Act (ACA), Medicaid drug spending growth has slowed, similar to the overall US pattern; however, state policymakers remain concerned about Medicaid prescription drug spending as spending is expected to grow in future years. Following an uptick in 2014 and 2015 that reflected both the introduction of high-cost specialty drugs and increased utilization due to the ACA expansion, Medicaid prescription drug utilization and spending growth slowed in 2016 and 2017. Additionally, some believe that even limiting Medicaid spending for generics to inflation is problematic, as the expectation is that the price of generic drugs will decline over time due to competition. Katherine Young, How Does the Trump Administration Drug Pricing Blueprint Affect Medicaid? 81, No. The professional dispensing fees for all pharmacies except government and rural pharmacies shall be tiered based upon annual total prescription volume. In March 2020, it will be regulated as biologic drug, which will allow for manufacturers to produce insulin biosimilars. PADs submitted under the medical benefit will be reimbursed 100% of ASP. Medicaid reimburses pharmacies for the cost of drugs dispensed to beneficiaries based on the actual acquisition cost (AAC) for a drug. Kaiser Family Foundation and Health Management Associates, Sates Focus on Quality and Outcomes Amid Waiver Changes: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2018 and 2019, https://www.kff.org/medicaid/report/states-focus-on-quality-and-outcomes-amid-waiver-changes-results-from-a-50-state-medicaid-budget-survey-for-state-fiscal-years-2018-and-2019/. Payments are sent directly to health care providers when they render services to Medicaid recipients. If you want this kind of coverage, you need to … In recent years, much attention in Medicaid pharmacy issues has been focused on high-cost blockbuster or “specialty” drugs, which are generally drugs that are expensive and/or require special administration. (Washington, DC: Kaiser Family Foundation): February 2018, https://www.kff.org/medicaid/issue-brief/snapshots-of-recent-state-initiatives-in-medicaid-prescription-drug-cost-control/. Within federal rules regarding the federal rebate agreement and medical necessity requirements, states have flexibility to administer and manage the pharmacy benefit within their Medicaid programs. State Medicaid programs reimburse pharmacies for prescription drugs based on the ingredient costs for the drug and a dispensing fee for filling the prescription. Lower of NADAC, WAC, U&C (clotting factor); ASP plus 6% (physician administered drugs). The agency is also intending on issuing guidance in the future addressing other activities that diminish generic competition. If you're in a skilled nursing facility (SNF) getting Medicare-covered Skilled nursing care, your prescriptions generally will be covered by Part A. A related area of focus in recent years is biologics, which are products, such as drugs or vaccines, derived from living organisms with chemical structures more complicated than traditional small molecule drugs. HHS describes Medicare as an insurance program, whereas Medicaid is an assistance program. In general, Medicaid does not purchase drugs directly from manufacturers or wholesalers; rather, Medicaid pays for the cost of drugs dispensed to Medicaid beneficiaries through pharmacies. Kaiser Family Foundation, May 2018, https://www.kff.org/medicaid/issue-brief/how-does-the-trump-administration-drug-pricing-blueprint-affect-medicaid/. Some states are focusing their efforts on high-cost drugs. In addition to federal statutory rebates, most states negotiate with manufacturers for supplemental rebates. States have flexibility to set professional dispensing fees, but there are federal requirements for the other inputs. Info: Non-emergency transportation to and from Medicaid-covered services through the County Departments of Job and Family Services. If you have ESRD and Original Medicare, you may join a Medicare drug … 50.4.1 - Approved Use of Drug (Rev. The New York State Medicaid Pharmacy program covers medically necessary FDA approved prescription and non-prescription drugs for Medicaid fee-for-service enrollees. You can submit this form for any of these reasons: • You’re a new member and don’t have your prescription … Medicaid statute defines Best Price as “the lowest price available from the manufacturer during the rebate period to any wholesaler, retailer, provider, health maintenance organization, nonprofit entity, or government entity within the United States.” There are many important exclusions, including the Department of Veterans Affairs, the 340B program, the Department of Defense, the Public Health Service, the Indian Health Service. Other strategies include implementing prescription limits or using state Maximum Allowable Cost (MAC)17 programs. Proposals focused on drug spending in Medicare, including proposals to develop alternative payment structures, such as value-based payments would affect Medicaid’s best price requirement. These drugs were a major advance in the treatment of HCV but carried a list price (initially $84,000 for a course of treatment with Sovaldi) that posed a challenge to state Medicaid program financing, even with the required rebate. Much state activity in Medicaid pharmacy benefits is focused on the goal of obtaining greater supplemental rebates from manufacturers. New York uses a spending growth cap, under which the state targets drugs with high or quickly-growing costs for additional supplemental rebates or strict utilization review. While Medicare and Medicaid are similar programs, there offer different challenges when it comes to reimbursement. Multiple Source Drugs: the lesser of FUL, NADAC, WAC, the pharmacy’s U&C, or the District Maximum Allowable Cost (DMAC). This growth in brand spending reflects national trends caused by the launch of expensive new drugs during the period and price increases for some brand name drugs, such as insulin, for which there are no generic versions.20, Figure 2: Number and Spending for Medicaid Outpatient Prescriptions, by Brand/Generic Status, 2014-2017. As described in the Medicare Claims Processing Manual, Pub. Opens in a new window. Does Medicaid Pay for Nursing Homes? The User bears all responsibility in determining whether this data is fit for the User's intended use. Questions regarding the topics on this page? 42 U.S.C. Filling the need for trusted information on national health issues. For example, states can opt to exclude certain classes of drugs (e.g., cosmetic or hair growth drugs, fertility drugs, smoking cessation or weight loss drugs). PRESCRIPTION DRUG PROGRAM MEDICAID DIRECT MEMBER REIMBURSEMENT FORM . Often, drugs on PDLs are cheaper or include drugs for which a manufacturer has provided supplemental rebates. For brand name drugs, the rebate formula is 1) the greater of either i) 23.1% * (Average Manufacturer Price, AMP) or ii) AMP-Best Price, plus 2) the inflationary component, with the exception of certain clotting factors and drugs approved exclusively for pediatric indications. The Best Price includes rebates in general, but not Medicaid supplemental rebates or rebates provided through the Medicaid Drug Rebate Program. As more states have enrolled additional Medicaid populations into managed care arrangements over time and states have included pharmacy benefits in managed care contracts, managed care organizations (MCOs) have played an increasingly significant role in administering the Medicaid pharmacy benefit. Drugs purchased outside of 340B program by CEs will be reimbursed lower of: Specialty drugs & drugs not dispensed by a retail community pharmacy will be reimbursed the lower of: Clotting Factor is reimbursed at WAC plus 0%. While generics are less expensive than brand name drugs, the cost of generics has also been rising in recent years.21 These price increases reflect a combination of factors including decreasing competition within the generic market and drop in the number of generic manufacturers, as well as delays in FDA generic approvals, supply or manufacturing challenges for come drugs, among others.22 Despite the inflationary component in the rebate calculation, the complex, interrelated nature of pricing and reimbursement means that cost increases are not necessarily limited for generic drugs in Medicaid. If you live in a nursing home and have full Medicaid … Under the ACA, states are able to collect rebates on prescriptions purchased by MCOs and as a result, many states have chosen to “carve-in” the pharmacy benefit to their managed care benefits. Medicaid and the Medicare Part D Prescription Drug Benefit. Medicare Part D is a prescription drug benefit available to everyone with Medicare. The Compendium for each year provides detailed state-by-state and national data on the use of and reimbursement for prescription drugs in Medicaid. Depending on your state, Medicaid reimbursement methods are dependent on a variety of factors, but there are several criteria that remain fairly universal. Pharmacies that dispense drugs to Medicaid beneficiaries purchase drugs from manufacturers or wholesalers, negotiating prices for drugs. Physician-administered drugs (PAD) are reimbursed at ASP -3.3%, excepting injectable opioid antagonists, which are reimbursed at ASP +2.2%. November 04, 2014 - Medicaid and Medicare services are often lumped together because they are both government-sponsored healthcare programs. Payment between the pharmacy and the manufacturer or wholesaler (to acquire and stock the drug) is a proprietary process, negotiated based off the manufacturer-set list prices for a drug. If NADAC is not available, AAC is the lesser of: Provider Administered Drugs (other than VCF vaccines) : Less than 49,999 prescriptions per year = $13.64 Between than 50,000 and 74,999 prescriptions per year = $10.80; Between than 50,000 and 74,999 prescriptions per year = $9.51; 100,000 or more prescriptions per year = $8.30. 340B purchased products shall bill no more than AAC. If you are accruing medical bills, including prescription charges while waiting for your application to be approved, Medicaid may reimburse … The total amount paid by Medicaid for a given drug is a factor of several inputs: 1) the dispensing fee paid to the pharmacist; 2) the amount paid to the pharmacy for the ingredients of a drug; and 3) the rebate received from the manufacturer. Technical changes would make it harder for manufacturers to lower their rebate obligations. Disclaimer: This data is provided "as is", and the Centers for Medicare and Medicaid Services (CMS) assumes no responsibility for errors or omissions. Other states, including California, are looking into leveraging purchasing power across state programs to obtain greater rebates. Also in June 2017, the FDA announced it would expedite ANDA reviews until there were three generics on the market for a given brand. U.S. Congress, Senate, Committee on Finance, The Price of Sovaldi and Its Impact on the U.S. Health Care System, 114th Congress, 1st session, 2015, http://www.finance.senate.gov/imo/media/doc/1%20The%20Price%20of%20Sovaldi%20 Though generic drugs account for the large majority of drug utilization in Medicaid, brand name drugs account for most drug spending. Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in San Francisco, California. The User assumes the entire risk associated with its use of this data. It has special importance to people with Medicare and New York State Medicaid because Medicare Part D replaces Medicaid in paying for most of your prescription drugs. Insulin is a biologic drug that has been regulated as a small molecule drug. long-term care pharmacies is set at $12.15, Blood Clotting Factors dispensing fee of $153.54, Long term care (LTC) = (NADAC minus 2.4%), 340B is based on state’s estimate of the 340 ceiling price, ((Acquisition Cost + Fixed Component) divided by (1 – the percentage used to calculate the Variable Component)) - Acquisition Cost) + Delivery Incentive + Preferred Generic Incentive, Utah Maximum Allowable Cost National Average Drug Acquisition Cost (NADAC), or, $716.54 for hemophilia clotting factor dispensed by the contracted pharmacy and in accordance with the hemophilia disease management program. Use this form to get refunded if you paid retail cost for your covered prescription drug(s). Here are a few examples of how Medicaid can work with Medicare. Because generic drugs are lower cost but still therapeutically equivalent to brand name drugs, most state Medicaid programs require generic substitution unless the prescriber specifies that the brand is medically necessary.18,19 Generic drugs accounted for the vast majority of prescription drug volume in Medicaid from 2014 through 2017. November 04, 2014 - Medicaid and Medicare services are often lumped together … $8.33 for pharmacies with a prescription volume of 65,000 or more claims per year. One set of products is the Statistical Compendium: Medicaid Pharmacy Benefit Use and Reimbursement (hereafter “the Compendium”) for calendar years 1999 and 2001-2009. Medicare & Medicaid Services.7500 Security Boulevard Baltimore, MD 21244 reimbursed by federal. Coverage for millions of Americans, including many with substantial health needs rebates provided through the Medicaid rebate! 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Http: //www.centerforbiosimilras.com/news/fda-releases-biosimilar-action-plan beneficiaries ’ access to needed prescription drugs except government and pharmacies...

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