KFF August 6, 2020

Medicaid provides health coverage for millions of Americans, including many with substantial health needs who rely on Medicaid drug coverage both for treating acute problems and for managing ongoing chronic or disabling conditions.Though optional, all states provide pharmacy benefit coverage and administer the benefit in different ways within federal guidelines.

These state fact sheets offer a snapshot of the administration and delivery of Medicaid pharmacy benefits in each state. The information is based on a survey of states conducted by KFF and Health Management Associates between June and December 2019. Utah did not respond and does not have a fact sheet.

Inclusion of Pharmacy Benefits in Medicaid Managed Care Contracts, 2019

  • National Summary
  • No MCOs
  • Carved...

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