Examples of Drug Acquisition in a sentence
If the Department implements the use of Maximum Allowable Ingredient Costs (MAICs) for drugs, which have three (3) or more generically equivalent options available, reimbursement for the affected drug(s) may change if the MAIC is “lesser of” the two other benchmarks defined in state law, i.e., National Average Drug Acquisition Cost and Federal Upper Limit.
The National Average Drug Acquisition Cost (NADAC) pricing will be used for AAC when available.
The National Average Drug Acquisition Cost (NADAC) is based on a review of invoices and published by Centers for Medicare and Medicaid Services (CMS) and will be used in the determination of AAC.
Facilities purchasing drugs at Nominal Price (outside of 340B or FSS) shall be reimbursed by their actual acquisition cost.B. The National Average Drug Acquisition Cost (NADAC) is a pricing benchmark published by CMS that calculates ingredient average acquisition costs experienced by retail community providers across the country.
The Division will better align with a cost-based reimbursement methodology by: (1) Applying the rate set by the National Average Drug Acquisition Cost (NADAC) when there is no Oregon Average Actual Acquisition Cost (AAAC) and (2) Removing consideration of the Federal Upper Limit (FUL).
PBMs shall follow the standards announced by the Commissioner in AID Bulletins 11- 2021, 13-2021 and 5-2022 for maximum allowable cost and National Average Drug Acquisition Cost (“NADAC”) reimbursement processing.
Ms. Kirby provided an update on the upcoming changes to the pharmacy reimbursement methodology, including the use of National Average Drug Acquisition Cost (NADAC).
When ASP data are not available for the oral drugs used in OTPs, use the TRICARE rate to set the payment for the drug component of the methadone bundle, and National Average Drug Acquisition Cost (NADAC) data to set the payment for the drug component of the oral buprenorphine bundle.
The Contractor must maintain up-to-date prices for Wholesale Acquisition Cost (WAC), Maximum Allowable Cost (MAC), National Average Drug Acquisition Cost (NADAC), Federal Upper Limit (FUL), 340B ceiling prices, and any other applicable pricing options required by the Commonwealth.
The Center for Medicare and Medicaid Services (CMS) requires all states to conduct a COD analysis for their pharmacy providers and reimburse them this amount for each Medicaid fee-for-service (FFS) claim on top of the cost to acquire the drug as measured by National Average Drug Acquisition Cost (NADAC) or a state’s own Actual Acquisition Cost (AAC).