Feds Deny Massachusetts Proposal on Medicaid Drugs
The Trump administration turned down
Under current law, all state Medicaid agencies must carry all drugs approved by the
In its application to the Centers on Medicare and Medicaid Services (CMS),
In its denial, CMS said it "supports the State's goal of lowering drug costs, and will continue to provide technical assistance on options to test innovative drug coverage mechanisms." However, the agency noted that in its application, the state said it expected to continue receiving manufacturing rebates even while trying to negotiate better prices with drugmakers. That, CMS said, would violate federal law.
Under its plan, the state could have only excluded drugs if other medications in its formulary treated the same illnesses or conditions. It also established an appeal process for patients to challenge the exclusions.
Many organizations advocating for patients with specific illnesses such as cancer and heart disease opposed
Even while turning down
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