The CMS took issue with the state’s plan to exclude some drugs from coverage while still collecting drugmaker rebates. (Photo: Shutterstock)

Massachusetts was met with denial by the Centers for Medicare and Medicaid in its attempt to choose which drugs are covered in its Medicaid program.

As reported in Modern Healthcare, although Medicaid usually covers all medications—albeit with some prior authorizations required—the state had hoped to avoid that in an effort to contain costs. Massachusetts had applied for a federal waiver to allow it to establish its own drug formulary similar to private insurance companies.

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Marlene Satter

Marlene Y. Satter has worked in and written about the financial industry for decades.

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