Benefits
Prescription Drugs
Every state has chosen to cover prescription drugs in their Medicaid programs. Medicaid agencies are pursuing innovative strategies to manage the rising cost of prescription drugs.
Resources
This resource provides a high-level summary of NAMD’s comments on the 2026 CMS’ Interoperability Standards and Prior Authorization...
NAMD Comments on the 2026 CMS’ Interoperability Standards and Prior Authorization for Drugs Proposed Rule
On June 15, 2026, NAMD formally commented on CMS’ Interoperability Standards and Prior Authorization for Drugs Proposed Rule.
Why Did They Do It That Way? Prescription Drugs
Does Medicaid cover prescription drugs? Under federal law, coverage of prescription drugs through the Medicaid program is an...
Optional, Not Mandatory: NAMD’s Recommendations on Anti-Obesity Medication Coverage
This resource provides a high-level summary of NAMD’s full comments on CMS’s proposed rule regarding Anti-Obesity Medication (AOM)...
Breaking the Bottleneck: Modernizing Medicaid Drug Access in the Million Dollar Therapy Era
NAMD Comments on Proposed Rule that Would Require Medicaid Coverage of Anti-Obesity Medications
In December 2024, CMS issued a proposed rule that would require Medicaid to cover anti-obesity medications.
NAMD Comments on Senate Finance Committee’s Generic Drug Legislation
The legislation would exclude most generic drugs from the Medicaid Drug Rebate Program's inflationary rebates.
Cell and Gene Therapies: Excitement tempered by reality
New therapies are opening doors to healing for thousands, but they come with their own unique challenges for...