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Medicaid plans to audit the prices of costliest drugs

Medicaid plans to audit the prices of costliest drugs

The Biden administration says it is planning to conduct a yearly audit to verify the prices drug makers charge on a handful of the costliest prescriptions covered by Medicaid

By AMANDA SEITZ
Published - May 23, 2023, 05:34 PM ET
Last Updated - Jun 21, 2023, 04:50 PM EDT

WASHINGTON (AP) — The Biden administration said Tuesday it is planning to conduct a yearly audit to verify the prices drug makers charge on a handful of the costliest prescriptions covered by Medicaid.

Under the proposal, the Centers for Medicare and Medicaid Services would require as many as 10 drug makers every year to furnish the government with proprietary and non-proprietary information as evidence to support the price it charges states, which administer Medicaid.

Drugs that cost Medicaid the most money — some as much as $2 million per treatment — will be selected for the survey.

The proposal was prompted by rising drug prices and complaints from states leaders who say they are having trouble negotiating those costs with manufacturers, said Dan Tsai, director of Center for Medicaid and Children's Health Insurance Program Services.

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