Chronicled, the administrator of the pharmaceutical blockchain group MediLedger announced a fourth working group to address Medicaid rebates.
In the United States, certain types of registered pharmacies get special so-called 340B Medicaid pricing from drug manufacturers. But not all drugs eligible for Medicaid are distributed by 340B registered pharmacies. For non 340B pharmacies, a rebate is claimed from the drug manufacturer. However, in some cases, both 340B pricing is provided and a Medicaid rebate is claimed, a double discount that’s strictly not allowed.
As a result, manufacturers are tightening procedures creating extra administration. It’s not a small problem. According to MediLedger 340B eligibility has grown from 1,000 pharmacies to 28,000 over the past ten years and $35 Billion in annual spend.
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