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How does Nadac compare to AWP?

NADAC provides more transparency and insight into drug spending and pricing, making it the obvious choice for PBM contracts. Moreover, it is updated on a weekly basis by CMS, which means that it can be used to represent the patients well-being and pharmacy benefits in a better way than AWP.

Who uses Nadac pricing?

Yes, Medi-Cal is using the NADAC as the pricing benchmark for both brand and generic drug products. 6. A NADAC price is not available for all drugs.

Who calculates NADAC?

The NADAC data is calculated by the Centers for Medicare and Medicaid Services.

What is NADAC used for?

The NADAC is a national reference benchmark that state Medicaid programs may use when determining their reimbursement to pharmacy providers. It represents the national average invoice price derived from retail community pharmacies for drug products based on invoices from wholesalers and manufacturers.

How is Nadac calculated?

The National Average Drug Acquisition Cost (NADAC) is based on the retail price survey and focuses on the retail community pharmacy acquisition costs. CMS has mandated that Medicaid pharmacy programs reimburse the actual acquisition cost (AAC) of drugs plus a professional dispensing fee.

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How does NADAC compare to AWP?

NADAC provides more transparency and insight into drug spending and pricing, making it the obvious choice for PBM contracts. Moreover, it is updated on a weekly basis by CMS, which means that it can be used to represent the patients well-being and pharmacy benefits in a better way than AWP.

What is the difference between MAC and nadac?

MAC: Maximum Allowable Cost is a reimbursement limit set by states in addition to the FUL. NADAC: The National Average Drug Acquisition Cost is intended to be a national average of the prices at which pharmacies purchase a prescription drug from manufacturers or wholesalers, including some rebates.

What is the PBM law in Arkansas?

Arkansass Act 900 mandates that PBMs: (1) reimburse pharmacies for generic drugs at a price equal to or higher than the pharmacies cost for the drug; (2) update their MAC lists at least seven days after a certain increase in acquisition costs; (3) follow certain administrative appeals procedures; (4) allow pharmacies

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