A Broken Promise For Pharma Manufacturers

Law360, New York (September 3, 2013, 11:43 AM EDT) -- On July 15, 2013, the Centers for Medicare & Medicaid Services issued its final rule addressing prescription drug coverage for the Medicaid expansion population.[1] Among other things, the final rule defines the scope of the 10 applicable “essential health benefits” required by the Patient Protection and Affordable Care Act to be provided to all new Medicaid beneficiaries, including the minimum requirements for the provision of prescription drugs to these beneficiaries.

The final rule, however, dramatically restricts mandatory coverage of prescription drugs for the expansion Medicaid enrollees by essentially eliminating today’s Medicaid...
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