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What is the difference between AWP and MAC?

PBM transparency The AWP does not reflect the acquisition cost for generic drugs. PBMs pay pharmacies a negotiated MAC that is proprietary and is also not known to states. The difference between the AWP-based payment and the MAC is referred to as the spread, or profit of the PBM. Pricing and Payment for Medicaid Prescription Drugs - KFF kff.org medicaid issue-brief pricing-an kff.org medicaid issue-brief pricing-an

What is the MAC effective rate?

MAC Effective Rate The average percent discount off the AWP for drugs processed by the MAC list. MAC List A list of drug products that are generally available with a generic version, to which MAC pricing will be applied. Pharmacy Benefit Management Software Glossary of Terms insourcerx.com glossary insourcerx.com glossary

How is Mac pricing calculated?

MAC prices are driven by factors inherent in marketplace competition, including how long the drug has been generic, how many manufacturers are making generic versions, how widely available the generic drug is accessible for purchase, and whether there have been problems in manufacturing (such as access to basic

What is Mac PBM?

Maximum Allowable Cost (MAC): MAC prices are the upper limits that a pharmacy benefit manager (PBM) or prescription drug benefit plan will pay a pharmacy for generic drugs and brand name drugs that have generic versions available (multi-source brands). MAC Information Center - PBM WATCH pbm watch mac-information-center pbm watch mac-information-center

What is a Mac drug list?

BackgroundWhat is MAC? A Maximum allowable cost or MAC list refers to a payer or PBM-generated list of products that includes the upper limit or maximum amount that a plan will pay for generic drugs and brand name drugs that have generic versions available (multi-source brands). The Need for Legislation Regarding Maximum Allowable National Center for Policy Analysis pdf leg mac-one-pager National Center for Policy Analysis pdf leg mac-one-pager PDF

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What is MAC reimbursement?

BackgroundWhat is MAC? A Maximum allowable cost or MAC list refers to a payer or PBM-generated list of products that includes the upper limit or maximum amount that a plan will pay for generic drugs and brand name drugs that have generic versions available (multi-source brands).

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