1115 Waiver Demonstration - Guam Medicaid Drug Rebate Program MDRP Waiver Request


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On August 5, 2022, the territory of Guam submitted a new section 1115 demonstration application seeking to waive participation in the Medicaid Drug Rebate Program (MDRP). Participating in the MDRP would require Guam to carry and cover more drugs than they believe is feasible due to the remote location of the island. Guam seeks to waive participation in the MDRP to maintain the existing capacity of pharmacy providers and avoid excess costs and labor for pharmacies. The federal comment period will be open from August 15, 2022 through September 14, 2022.

Pending Application

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