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]]> By: medicaid pharmacy director http://www.pharmalot.com/2007/06/medicaid-rule-change-threatens-generics/#comment-9897 medicaid pharmacy director Mon, 18 Jun 2007 22:22:30 +0000 http://www.pharmalot.com/2007/06/medicaid-rule-change-threatens-generics/#comment-9897 As a pharmacy director for a medicaid managed care plan, I want to make the point that the institution of AMP does not necesarily mean you will see problems with pharmacy benefit managers and others who serve these type of beneficiaries. At this point in time, it can only be expected that AMP will be adapted in the medicaid fee-for-service population. Because it will be a federal requirement. There has been no indication that state medicaid agencies will then impose a trickle-down and require medicaid managed care plans (and their PBMs) to adopt the same. What you might see are pharmacies that are more willing to accept payment from managed care plans and their PBMs, rather than the state medicaid plans themselves. Something to ponder, anyway. As a pharmacy director for a medicaid managed care plan, I want to make the point that the institution of AMP does not necesarily mean you will see problems with pharmacy benefit managers and others who serve these type of beneficiaries. At this point in time, it can only be expected that AMP will be adapted in the medicaid fee-for-service population. Because it will be a federal requirement. There has been no indication that state medicaid agencies will then impose a trickle-down and require medicaid managed care plans (and their PBMs) to adopt the same. What you might see are pharmacies that are more willing to accept payment from managed care plans and their PBMs, rather than the state medicaid plans themselves. Something to ponder, anyway.

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