NCPA and NACDS are urgently requesting CMS examine more carefully recent changes to the National Average Drug Acquisition Cost (NADAC) price benchmark, which have dramatically reduced pharmacy reimbursement in Medicaid and some Medicare plans beginning mid-April. The NADAC changes threaten access to care under Medicaid, especially in underserved areas. Furthermore, these changes are arbitrary and capricious and did not proceed through the necessary rulemaking process, nor did CMS seek public feedback and comments as is historically done.
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Under the Consolidated Appropriations Act of 2021 (“CAA”), employer-sponsored group health plans, including medical-only plans, must submit information about their prescription drugs.
It’s a good bet Iowans would sit up and take notice if 40.8% of the state’s independent pharmacies closed their doors in 2025. Yet that’s the prediction o