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  2. Medicaid Drug Rebate Program - Wikipedia

    en.wikipedia.org/wiki/Medicaid_Drug_Rebate_Program

    The Medicaid Drug Rebate Program is a program in the United States that was created by the Omnibus Budget Reconciliation Act of 1990 (OBRA'90). The program establishes mandatory rebates that drug manufacturers must pay state Medicaid agencies related to the dispensing of outpatient prescription drugs covered by Medicaid .

  3. 340B Drug Pricing Program - Wikipedia

    en.wikipedia.org/wiki/340B_Drug_Pricing_Program

    The 340B Drug Pricing Program is a US federal government program created in 1992 that requires drug manufacturers to provide outpatient drugs to eligible health care organizations and covered entities at significantly reduced prices. The intent of the program is to allow covered entities to "stretch scarce federal resources as far as possible ...

  4. Provisions of the Affordable Care Act - Wikipedia

    en.wikipedia.org/wiki/Provisions_of_the...

    The Medicaid drug rebate for brand name drugs, paid by drug manufacturers to the states, is increased to 23.1% (except for the rebate for clotting factors and drugs approved exclusively for pediatric use, which increases to 17.1%), and the rebate is extended to Medicaid managed care plans; the Medicaid rebate for non-innovator, multiple source ...

  5. How new Medicaid plan could help fix what's wrong with ... - AOL

    www.aol.com/medicaid-plan-could-help-fix...

    That includes the $7.5 billion effort approved this year in New York, where health officials will be approving a range of proposals for addressing how Medicaid reduces health disparities and ...

  6. NY approved a $37B Medicaid budget. Where is money ... - AOL

    www.aol.com/ny-approved-37b-medicaid-budget...

    Pandemic-ravaged hospitals that serve poor and low-income New Yorkers will get $3.2 billion in aid under the recently approved state budget for 2025, according to Gov. Kathy Hochul's estimates ...

  7. Pharmacy benefit management - Wikipedia

    en.wikipedia.org/wiki/Pharmacy_benefit_management

    Ron Wyden stated in April 2019 that they were as “clear a middleman rip-off as you are going to find”, because they make more money when they pick a higher-priced drug over a lower-priced drug. [54] In June 2024, the New York Times released its first article in a series critiquing pharmacy benefit managers for artificially raising drug ...

  8. 3 million New Yorkers on Medicaid, public health insurance ...

    www.aol.com/3-million-yorkers-medicaid-public...

    As many as 3 million New Yorkers may be fraudulently reaping taxpayer-funded Medicaid and other public health insurance benefits at a potential cost of $20 billion a year, a staggering new study ...

  9. List of largest civil only pharmaceutical settlements - Wikipedia

    en.wikipedia.org/wiki/List_of_largest_civil_only...

    Misclassification under the Medicaid Drug Rebate Program: False Claims Act: 2010 14 (tie) 13 Trileptal: Novartis [18] $465,000,000 $390 million ($465 million with co-defendant settlements) Off-label promotion/kickbacks False Claims Act/FDCA 2008 17 14 Actiq/Gabitril/Provigil: Cephalon [19] $425,000,000 $375 million civil ($425 million with ...