ARTICLE
15 March 2021

Passage Of American Rescue Plan Act Of 2021 Could Mean Larger Medicaid Drug Rebate Program Rebates For Pharmaceutical Manufacturers

AF
ArentFox Schiff

Contributor

Your goals define our mission. Whether an immediate need or a long-term objective, ArentFox Schiff helps you reach your full potential. As industry insiders, we partner with you to develop practical business strategies and sophisticated legal solutions to achieve today’s targets and anticipate tomorrow’s problems. We get you across the finish line.

The American Rescue Plan Act of 2021, signed into law by President Biden on March 11, 2021, is a $1.9 trillion aid package that provides assistance to businesses and individuals experiencing financial hardship due to COVID-19.
United States Food, Drugs, Healthcare, Life Sciences
ArentFox Schiff are most popular:
  • with readers working within the Advertising & Public Relations, Banking & Credit and Healthcare industries

The American Rescue Plan Act of 2021, signed into law by President Biden on March 11, 2021, is a $1.9 trillion aid package that provides assistance to businesses and individuals experiencing financial hardship due to COVID-19.

But buried in the bill is Section 9816 which sunsets the cap on Medicaid Drug Rebate Program rebates at Average Manufacturer Price (AMP) beginning January 1, 2024.  This means that pharmaceutical manufacturers could pay Medicaid Drug Rebate Program rebates greater than AMP for Medicaid utilization in the first quarter of 2024 and after. This most likely would occur in the event AMP rises faster than inflation and could lead manufacturers to discontinue certain covered outpatient drug products or simply cease participating in Medicaid entirely.

The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances.

[View Source]

Mondaq uses cookies on this website. By using our website you agree to our use of cookies as set out in our Privacy Policy.

Learn More