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Psychiatr News February 2, 2007
Volume 42, Number 3, page 29
© 2007 American Psychiatric Association
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Clinical & Research News

One Psychotropic On Medicaid List Of Most Given Drugs

Mark Moran

Haloperidol decanoate (50 mg) was among the top 20 physician-administered drugs in the Medicaid program, in terms of dollar volume.

The antipsychotic ranked 17th in a list of physician-administered "multiple-source" drugs, according to the federal Centers for Medicare and Medicaid Services (CMS). multiple-source drugs are those marketed by more than one manufacturer.

Haloperidol was the only psychiatric drug on the list. The top three drugs on the list are Paclitaxel, Carboplatin, and Ceftriaxone sodium.

The list was compiled using 2004-2005 national data extracted from the Medicaid Statistical Information System. This system includes data on national medication codes and names, as well as other information that can be shared with state officials involved with Medicaid programs.

The information was compiled by the Department of Health and Human services, the parent agency of cms, in an effort to encourage the states to collect manufacturer rebates they are due for certain physician-administered drugs as part of the 1990 Medicaid Drug Rebate Program.

In the past, the Office of the Inspector General had found that most state Medicaid programs were failing to collect the medication rebates they were entitled to receive.

Effective January 1 state Medicaid programs are required by the Deficit Reduction act of 2005 (DRA) to collect national drug codes for the 20 multiple-source physician-administered drugs with the highest dollar volume in the Medicaid program. Further, beginning January 1, 2008, the DRA requires that the states that do not collect codes on these 20 frequently used drugs will not receive federal matching payments for the drugs unless they receive a hardship waiver.

The medication list is posted at <www.cms.hhs.gov/DeficitReductionAct/40_PhysicianAdministeredDrugs.asp>. {blacksquare}





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