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Hard-earned insights that help drug manufacturers achieve their growth, compliance, and profitability objectives

Unit Rebate Amount Calculation For Medicaid

Unit Rebate Amount Calculation For Medicaid

How to Calculate A Unit Rebate AmountFor people who regularly work in the pharmaceutical industry within the government pricing space, the question of how a URA is calculated may be one easily answered. For even the most seasoned pharma executives not exposed to...

Branded Prescription Drug Fee Payment Deadline Approaching

Branded Prescription Drug Fee Payment Deadline Approaching

Branded Prescription Drug Fee – Payment Deadline ApproachingFriendly reminder to all of our industry colleagues! The final Branded Prescription Drug Fee invoices should be mailed soon. No later than August 31st of each year, the IRS mails the final fee calculation to...

Key Terms in Pharmaceutical Government Pricing

Key Terms in Pharmaceutical Government Pricing

Key Terms in Pharmaceutical Government PricingPharmaceutical pricing can be a challenge to understand and a difficult landscape to navigate. There are multiple prices set for each individual National Drug Code (NDC) – some publicly available and some not. WAC, ASP,...

Part I Unwinding Medicaid Continuous Enrollment

Part I Unwinding Medicaid Continuous Enrollment

Part I – Unwinding Medicaid Continuous Enrollment May 2022After a slight decline from 2017 to 2019, Medicaid enrollment rose sharply throughout the pandemic. Historically, Medicaid enrollment tracks with unemployment rates. When rates rise, enrollment increases....

Update 2023 Best Price Accumulator Adjustment Program Ruling

Update 2023 Best Price Accumulator Adjustment Program Ruling

Update – 2023 Best Price & Accumulator Adjustment Program Ruling2023 was shaping up to be a year of challenging decisions for manufacturers and restricted access to critical pharmaceuticals for patients. The 2023 implementation of the proposed CMS Medicaid Best...

Reasons To Prepare Now For The 2024 Medicaid Rebate Cap Removal

Reasons To Prepare Now For The 2024 Medicaid Rebate Cap Removal

Reasons to prepare now for the 2024 Medicaid rebate cap removalDoes it feel like proposed Medicaid rule changes are too far in the future to think about? Or the proposed changes appear so dramatic that it seems unlikely to pass into law, so there’s little need to...

Is Wholesale Distribution The Best Option For Drug Manufacturers

Is Wholesale Distribution The Best Option For Drug Manufacturers

Is wholesale distribution the best option for drug manufacturers?In today’s market, customer mergers and consolidations leave drug manufacturers few options in establishing a distribution strategy to make their products available and remain profitable. The popular...