Constance A. Wilkinson, a Member of the Firm in the Litigation and Health Care and Life Sciences practices, in the firm’s Washington, DC, office, was quoted in AIS Health Drug Benefit News, in “Long-Awaited AMP Rule Heralds Shift to Acquisition Cost-Based Reimbursement.” The article discusses the final regulatory rules for implementation of the required changes to the Medicaid Drug Rebate Program.

Following is an excerpt:

Unlike AWP, which is data reported in pricing compendia and is “really more of an adaptation or markup of a sticker purchase price,” AMP is based on “actual transactional data” and takes into account price concessions, explains Connie Wilkinson, member of Epstein Becker Green in the Litigation and Health Care and Life Sciences Practices in the firm’s Washington, D.C., office.

The shift to AMP, therefore, is “trying to align more closely the reimbursement the Medicaid program pays for the drug with what the provider actually paid for the drug,” Wilkinson observes. “So instead of permitting there to be a spread or a differential between what the pharmacy has paid to purchase the drug and what is being reimbursed by the payer as the drug ingredient cost, this eliminates that differential between the two and sets things up in a way where the dispensing fee should more accurately compensate for the cost of the pharmacy dispensing.”

Jump to Page

Privacy Preference Center

When you visit any website, it may store or retrieve information on your browser, mostly in the form of cookies. This information might be about you, your preferences or your device and is mostly used to make the site work as you expect it to. The information does not usually directly identify you, but it can give you a more personalized web experience. Because we respect your right to privacy, you can choose not to allow some types of cookies. Click on the different category headings to find out more and change our default settings. However, blocking some types of cookies may impact your experience of the site and the services we are able to offer.

Strictly Necessary Cookies

These cookies are necessary for the website to function and cannot be switched off in our systems. They are usually only set in response to actions made by you which amount to a request for services, such as setting your privacy preferences, logging in or filling in forms. You can set your browser to block or alert you about these cookies, but some parts of the site will not then work. These cookies do not store any personally identifiable information.

Performance Cookies

These cookies allow us to count visits and traffic sources so we can measure and improve the performance of our site. They help us to know which pages are the most and least popular and see how visitors move around the site. All information these cookies collect is aggregated and therefore anonymous. If you do not allow these cookies we will not know when you have visited our site, and will not be able to monitor its performance.