340B
Simon&Co. has helped many safety net providers to navigate the complexities of the 340B program and understand the impact of the 2016 Covered Outpatient Drugs final rule that addresses key areas of Medicaid drug reimbursement and subsequent policy changes made to the Medicaid Drug Rebate Program including reimbursing 340B safety net outpatient at actual acquisition cost (AAC) plus a state-set “professional” dispensing fee (PDF).
• Nominal Pricing – Simon&Co. also tracks state policies related to safety-net provider reimbursement for drugs acquired at nominal prices.