State Medicaid MCO Supplemental Pharmacy Rebates
This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.
As of July 1, 2019
| Location | MCOs or Pharmacy Benefit Managers Permitted to Negotiate Supplemental Rebates | If Yes, Pharmacy Benefit Managers Required to Pass Through Supplemental Rebate Collections to MCOs | If Yes, MCOs Required to Report Aggregate Supplemental Rebate Collections |
|---|---|---|---|
| United States | Yes: 18, For uniform classes and other PDL drugs: 1, For other PDL drugs but not uniform classes: 8, No: 7, N/A: 15, NR: 2 | Yes: 9, No: 16, NR: 3 | Yes: 16, No: 8, NR: 3 |
| Alabama | N/A | ||
| Alaska | N/A | ||
| Arizona | For other PDL drugs but not uniform classes | Yes | Yes |
| Arkansas | No | ||
| California | Yes | Yes | Yes |
| Colorado | NR | ||
| Connecticut | N/A | ||
| Delaware | For other PDL drugs but not uniform classes | No | No |
| District of Columbia | Yes | No | No |
| Florida | No | ||
| Georgia | Yes | No | No |
| Hawaii | Yes | Yes | Yes |
| Idaho | N/A | ||
| Illinois | Yes | No | No |
| Indiana | Yes | No | No |
| Iowa | No | ||
| Kansas | For uniform classes and other PDL drugs | Yes | Yes |
| Kentucky | Yes | No | Yes |
| Louisiana | No | ||
| Maine | N/A | ||
| Maryland | Yes | No | Yes |
| Massachusetts | For other PDL drugs but not uniform classes | No | Yes |
| Michigan | Yes | No | No |
| Minnesota | For other PDL drugs but not uniform classes | Yes | Yes |
| Mississippi | No | ||
| Missouri | N/A | ||
| Montana | N/A | ||
| Nebraska | No | ||
| Nevada | Yes | Yes | Yes |
| New Hampshire | Yes | Yes | Yes |
| New Jersey | Yes | No | Yes |
| New Mexico | Yes | NR | NR |
| New York | Yes | No | Yes |
| North Carolina | N/A | ||
| North Dakota | For other PDL drugs but not uniform classes | No | No |
| Ohio | Yes | Yes | Yes |
| Oklahoma | N/A | ||
| Oregon | Yes | No | No |
| Pennsylvania | Yes | NR | NR |
| Rhode Island | Yes | No | |
| South Carolina | For other PDL drugs but not uniform classes | No | Yes |
| South Dakota | N/A | ||
| Tennessee | N/A | ||
| Texas | No | ||
| Utah | NR | NR | NR |
| Vermont | N/A | ||
| Virginia | For other PDL drugs but not uniform classes | No | Yes |
| Washington | For other PDL drugs but not uniform classes | Yes | Yes |
| West Virginia | N/A | ||
| Wisconsin | N/A | ||
| Wyoming | N/A |