Payment for Drugs

  1. Law
  2. CFR 42
  3. Public Health
  4. Centers for Medicare & Medicaid Services, Department of Health and Human Services
  5. Medical Assistance Programs
  6. Payments for Services
  7. Payment for Drugs

Checkout our iOS App for a better way to browser and research.

Section
447.500

Basis and purpose.

Section
447.502

Definitions.

Section
447.504

Determination of average manufacturer price.

Section
447.505

Determination of best price.

Section
447.506

Authorized generic drugs.

Section
447.507

Identification of inhalation, infusion, instilled, implanted, or injectable drugs (5i drugs).

Section
447.508

Exclusion from best price of certain sales at a nominal price.

Section
447.509

Medicaid drug rebates (MDR).

Section
447.510

Requirements for manufacturers.

Section
447.511

Requirements for States.

Section
447.512

Drugs: Aggregate upper limits of payment.

Section
447.514

Upper limits for multiple source drugs.

Section
447.516

Upper limits for drugs furnished as part of services.

Section
447.518

State plan requirements, findings, and assurances.

Section
447.520

Federal Financial Participation (FFP): Conditions relating to physician-administered drugs.

Section
447.522

Optional coverage of investigational drugs and other drugs not subject to rebate.