Pharmacy Services:Changes to the Medicaid State Plan to Implement a 340B Drug Dispensing Fee

The Division of Medicaid and Health Financing (DMHF) will submit changes to the Medicaid State Plan to implement a 340B drug dispensing fee.

SPA 14-009-UT 340B Dispensing Fee, therefore, amends the Special Category Fees list in Attachment 4.19-B of the State Plan to incorporate a 340B dispensing fee, to be determined consistent with surveys, in-house studies of dispensing fee costs, national and regional data, and economic trends and conditions.

The 340B drug program reimburses for drugs dispensed to eligible clients of 340B covered entities. These drugs are highly discounted such that expenses normally satisfied under traditional dispensing fees are not adequately covered. Consequently, these changes should be budget neutral, and DMHF does not anticipate an impact in total annual expenditures to result from these changes.

These proposed changes, if approved, become effective on January 1, 2014.

These proposed changes are pending Centers for Medicare & Medicaid Services approval. A copy of the changes may be obtained from Craig Devashrayee (801-538-6641), or by writing the Technical Writing Unit, Utah Department of Health, P.O. Box 143102, Salt Lake City, UT 84114-3102. Comments are welcome at the same address. Copies of the changes are also available at local county health department offices.