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Code · STATUTE-COMPILATIONS · Sustaining Excellence in Medicaid Act of 2019 · Sec. 6

Sec. 6. REDUCED WHOLESALE ACQUISITION COST (WAC)-BASED PAYMENTS FOR NEW DRUGS AND BIOLOGICALS

195 words·~1 min read·/statute-compilations/comps-15395/sec-6

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## SEC. 6 REDUCED WHOLESALE ACQUISITION COST (WAC)-BASED PAYMENTS FOR NEW DRUGS AND BIOLOGICALS Section 1847A(c)(4) of the Social Security Act (42 U.S.C. 1395w-3a(c)(4)) is amended by striking “ payable under this section for the drug or biological based on— ” and all that follows through the period at the end and inserting the following: > “payable under this section— > > > ##### “(A) > > in the case of a drug or biological furnished prior to January 1, 2019, based on— > > > ###### “(i) > > the wholesale acquisition cost; or > > > ###### “(ii) > > the methodologies in effect under this part on November 1, 2003, to determine payment amounts for drugs or biologicals; and > > > ##### “(B) > > in the case of a drug or biological furnished on or after January 1, 2019— > > > ###### “(i) > > at an amount not to exceed 103 percent of the wholesale acquisition cost; or > > > ###### “(ii) > > based on the methodologies in effect under this part on November 1, 2003, to determine payment amounts for drugs or biologicals.” > .
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Sec. 6
REDUCED WHOLESALE ACQUISITION COST (WAC)-BASED PAYMENTS FOR NEW DRUGS AND BIOLOGICALS
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