FROM CARVE-OUT TO SINGLE PDL
Back in September, Michigan proposed policy
1936-Pharmacy to
carve-out the State's Managed Medicaid outpatient pharmacy drug coverage and move to a Fee-for-Service (FFS) model. That being said, plans to
carve-out pharmacy benefits have recently been updated. After considering the plan, the State has made a decision to instead implement a single Medicaid Preferred Drug List (PDL). The single PDL was a recommendation in the
Governor's Executive Budget and serves to maximize manufacturer rebates to increase savings. Along with the PDL,
MDHHS is also advising raising MHP's dispensing fee to $3 for independent pharmacies. Currently, the department is preparing an updated policy and there will be an opportunity for public comment.
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