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1
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38449084794
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AMCP Task Force on Drug Payment Methodologies: AMCP guide to pharmaceutical payment methods
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Available at
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AMCP Task Force on Drug Payment Methodologies: AMCP guide to pharmaceutical payment methods. J Manag Care Pharm. 2007;13(8 Suppl C). Available at: http://www.amcp.org/page/PharmaceuticalPaymentMethodsIntro.
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J Manag Care Pharm
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3
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70349500763
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Revised February 17, 2004. Available at: Accessed July 15, 2009
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Thomson Reuters. AWP policy. Revised February 17, 2004. Available at: www.micromedex.com/products/redbook/awp/AWP-Policy.pdf. Accessed July 15, 2009.
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AWP Policy
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Reuters, T.1
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4
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70349496795
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U.S. District Court, District of Massachusetts. Memorandum and Order, March 17, Available at: Accessed July 15, 2009
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U.S. District Court, District of Massachusetts. New England Carpenters Health Benefits Fund, et al., plaintiffs, vs. First DataBank, Inc., and McKesson Corporation, defendants, Civil Action No. 05-11148-PBS; District Council 37 Health and Security Plan, on behalf of itself and all others similar situated, plaintiff, vs. Medi-Span, a division of Wolters Kluwer Health, Inc., defendant. Civil Action No. 07-10988-PBS. Memorandum and Order, March 17, 2009. Available at: http://www.nacds.org/user-assets/pdfs/gov-affairs/Issues/FirstDataBank/720- Memo-Order.pdf. Accessed July 15, 2009.
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New England Carpenters Health Benefits Fund, et Al., Plaintiffs, Vs. First DataBank, Inc., and McKesson Corporation, Defendants, Civil Action No. 05-11148-PBS; District Council 37 Health and Security Plan, on Behalf of Itself and All Others Similar Situated, Plaintiff, Vs. Medi-Span, a Division of Wolters Kluwer Health, Inc., Defendant. Civil Action No. 07-10988-PBS
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6
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70349525591
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Available at: Accessed July 15, 2009
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Medi-Span. Customer letter. Available at: http://www.medispan.com/Common/ PDF/CustomerLetter-April12009-FINAL.pdf. Accessed July 15, 2009.
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Customer Letter
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7
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70349516506
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Payers tightening management of specialty therapies
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April Available at: Accessed July 15, 2009
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McConnell K, Haren MC. Payers tightening management of specialty therapies. Biotechnol Healthcare. April 2009:35-37. Available at: http://www.nxtbook.com/nxtbooks/medimedia/bh-200904/#/0. Accessed July 15, 2009.
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(2009)
Biotechnol Healthcare
, pp. 35-37
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McConnell, K.1
Haren, M.C.2
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8
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70349483230
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note
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Pharmacy benefit management (PBM) companies provide administrative services under the pharmacy benefit, such as contracting with a network of pharmacies including mail service, developing and managing formularies, establishing payment levels for provider pharmacies, adjudicating pharmacy claims, operating pharmacy and member call center/help desk, and providing data reporting.
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9
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70349496796
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Multiple source drug definition. 42CFR Part 447
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Available at: Accessed July 18, 2009.
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Medicaid Program: Multiple source drug definition. 42CFR Part 447, Federal Register. March 14, 2008;73(51):13785-88. Available at: http://edocket.access.gpo.gov/2008/08-1022.htm. Accessed July 18, 2009.
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(2008)
Federal Register. March 14
, vol.73
, Issue.51
, pp. 13785-13788
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Program, M.1
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12
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70349491487
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DHHS Centers for Medicare & Medicaid Services Available at: Accessed July 15, 2009
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DHHS Centers for Medicare & Medicaid Services. Current CAP activity. Available at: http://www.cms.hhs.gov/CompetitiveAcquisforBios. Accessed July 15, 2009.
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Current CAP Activity
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14
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70349522648
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Pennsylvania Medicaid Policy Center. May Available at: Accessed July 15, 2009 http://www.communityplans.net/POLICYSUPPORT/Medicaid/PrescriptionDrugs/ tabid/97/Default.aspx
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Garfield R. Carving-out prescription drugs from Medicaid managed care: a review of the evidence. Pennsylvania Medicaid Policy Center. May 2009. Available at: http://www.pamedicaid.pitt.edu/documents/Carve%20Out-rp-09.pdf. Accessed July 15, 2009. http://www.communityplans.net/POLICYSUPPORT/Medicaid/ PrescriptionDrugs/tabid/97/Default.aspx
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(2009)
Carving-out Prescription Drugs from Medicaid Managed Care: A Review of the Evidence
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Garfield, R.1
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15
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33749395926
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The AMCP Format for Formulary Submissions version 2.1
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1-29,1-6. Available at
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The AMCP Format for Formulary Submissions version 2.1. J Manag Care Pharm. 2005;11(5 Suppl B):i-xvi,1-29,1-6. Available at: http://www.amcp.org/ data/jmcp/formatsupp.pdf.
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(2005)
J Manag Care Pharm
, vol.11
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16
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70349525592
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note
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Stakeholders including payers and their consultants and representatives, vendors in the channels of distribution, health professionals, policymakers, patient associations, and professional associations.
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17
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33846670832
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National health spending in 2005: the slow-down continues
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and the National Health Expenditure Accounts Team Available at: Accessed July 15, 2009
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Catlin A, Cowan C, Heffler S, Washington B, and the National Health Expenditure Accounts Team. National health spending in 2005: the slow-down continues. Health Aff. 2007;26(1):142-53. Available at: http://content. healthaffairs.org/cgi/content/full/26/1/142. Accessed July 15, 2009.
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Health Aff
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Catlin, A.1
Cowan, C.2
Heffler, S.3
Washington, B.4
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18
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70349497722
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March 19, Available at: Accessed July 24, 2009
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IMS Health reports U.S. prescription sales grew 1.3 percent in 2008 to $291 billion. March 19, 2009. Available at: http://www.imshealth.com/ portal/site/imshealth/menuitem.a46c6d4df3db4b3d88f611019418c22a/?vgnextoid= 078ce5b87dal0210VgnVCM100000ed152ca2RCRD&vgnextchannel= b5e57900b55a5110VgnVCM10000071812ca2RCRD&vgnextfmt=default. Accessed July 24, 2009.
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(2009)
IMS Health Reports U.S. Prescription Sales Grew 1.3 Percent in 2008 to $291 Billion
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19
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70349496784
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April 22, Available at: Accessed July 24, 2009
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IMS Health lowers 2009 global pharmaceutical market forecast to 2.5-3.5 percent growth. April 22, 2009. Available at: http://www.imshealth.com/portal/ site/imshealth/menuitem.a46c6d4df3db4b3d88f611019418c22a/?vgnextoid= 1e61fa8adbec0210VgnVCM100000ed152ca2RCRD&vgnextchannel= b5e57900b55a5110VgnVCM10000071812ca2RCRD&vgnextfmt=default. Accessed July 24, 2009.
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(2009)
IMS Health Lowers 2009 Global Pharmaceutical Market Forecast to 2.5-3.5 Percent Growth
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20
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70349497735
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Milliman Research Report
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May Available at: Accessed July 15, 2009
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Milliman Research Report. 2008 Milliman Medical Index. May 2008. Available at: http://www.milliman.com/expertise/healthcare/products-tools/mmi/ pdfs/milliman-medical-index-2008.pdf. Accessed July 15, 2009.
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(2008)
2008 Milliman Medical Index
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21
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59749092456
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Limits on Medicare's ability to control rising spending on cancer drugs
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Available at: Accessed July 18, 2009
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Bach PB. Limits on Medicare's ability to control rising spending on cancer drugs. N Engl J Med. 2009;360(6):626-33. Available at: http://content.nejm.org/cgi/reprint/360/6/626.pdf. Accessed July 18, 2009.
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(2009)
N Engl J Med
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, Issue.6
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Bach, P.B.1
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22
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70349494578
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For example, see June 11, Available at: Accessed July 15, 2009
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For example, see oral statement of Pamela Jones Harbour, Commissioner, Federal Trade Commission, before the Subcommittee on Health, Committee on Energy and Commerce, of the U.S. House of Representatives, June 11, 2009. Available at: http://energycommerce.house.gov/Press-111/20090611/testimony-harbour.pdf. Accessed July 15, 2009.
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(2009)
Oral Statement of Pamela Jones Harbour, Commissioner, Federal Trade Commission, before the Subcommittee on Health, Committee on Energy and Commerce, of the U.S. House of Representatives
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24
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70349483214
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November 13, Available at: Accessed July 15, 2009
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Expert Report of S Schondelmeyer, PharmD, PhD, in NACDS and NCPA vs. DHHS and CMS, November 13, 2007. Available at: www.ncpanet.org/pdf/amp-ncpanacds- schondelmeyerreport.pdf. Accessed July 15, 2009.
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(2007)
Expert Report of S Schondelmeyer, PharmD, PhD, in NACDS and NCPA Vs. DHHS and CMS
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25
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70349497723
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Changes to AMP and best price: Impact on 340B pricing
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Presented at: February 1, Available at: Accessed July 15, 2009
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Shondelmeyer SW. Changes to AMP and best price: impact on 340B pricing. Presented at: The 4th Annual 340B Coalition Winter Conference; February 1, 2008. Available at: http://www.drugdiscountmonitor.com/2008-winter/Steve- Schondelmeyer-Fri-830-onsite.ppt. Accessed July 15, 2009.
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(2008)
The 4th Annual 340B Coalition Winter Conference
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Shondelmeyer, S.W.1
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27
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70349514139
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U.S. District Court, District of Massachusetts Civil Action No: 05-11148-PBS; November 14, Available at: Accessed July 15, 2009
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U.S. District Court, District of Massachusetts. New England Carpenters Health Benefits Fund, Pirelli Armstrong Retiree Medical Benefits Trust, Teamsters Health and Welfare Fund of Philadelphia and Vicinity, Philadelphia Federation Teachers Health and Welfare Fund, and District 37 Health and Security Fund, plaintiffs, vs. First Databank, Inc., and McKesson Corporation, defendants. Civil Action No: 05-11148-PBS; November 14, 2006. Available at: http://www.prescriptionaccess.org/docs/FDB-prelim-approval-order2.pdf. Accessed July 15, 2009.
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(2006)
New England Carpenters Health Benefits Fund, Pirelli Armstrong Retiree Medical Benefits Trust, Teamsters Health and Welfare Fund of Philadelphia and Vicinity, Philadelphia Federation Teachers Health and Welfare Fund, and District 37 Health and Security Fund, Plaintiffs, Vs. First Databank, Inc., and McKesson Corporation, Defendants
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28
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70349493534
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How quiet moves by a publisher sway billions in drug spending
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October 6, Available at: Accessed July 15, 2009
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Martinez B. How quiet moves by a publisher sway billions in drug spending. Wall St J. October 6, 2006:A1. Available at: http://www.dc37.net/news/ newsreleases/2006/drugpricing-WallStJ.pdf. Accessed July 15, 2009.
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Wall St J
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NACDS and McDermott, Will, and Emery
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RxVillage audioconference January 16, Available in the at
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Bell D, Stephens R. RxVillage audioconference. NACDS and McDermott, Will, and Emery. Pharmacy Litigation Trends, 2009. January 16, 2009. Available in the AMCP Interactive Resource Library at: http://www.amcp.org/amcp.ark?p=264A8FA5.
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Pharmacy Litigation Trends, 2009
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Bell, D.1
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DHHS Office of Inspector General. Medicaid drug price comparisons: average manufacturer price to published prices. Report no. OE1-05-05-00240. June 2005. Available at: http://oig.hhs.gov/oei/reports/oei-05-05-00240.pdf. Accessed July 25, 2009.
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(2005)
Medicaid Drug Price Comparisons: Average Manufacturer Price to Published Prices
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31
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Industrywide litigation by definition
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October Available at: Accessed July 25, 2009
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For the Defense
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Testimony: Statement of Douglas Holtz-Eakin, Director
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Congressional Budget Office Before the U.S. Senate Special Committee on Aging; July 20, Available at: Accessed July 28, 2009
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Congressional Budget Office. Testimony: statement of Douglas Holtz-Eakin, Director. Payment for prescription drugs under Medicaid. Before the U.S. Senate Special Committee on Aging; July 20, 2005. Available at: www.cbo.gov/ftpdoc. cfm?index=6564&type=0&sequence=0. Accessed July 28, 2009.
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(2005)
Payment for Prescription Drugs under Medicaid
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The Pharmacy Benefit Management Institute Takeda Pharmaceuticals North America, Inc. November Available at: Accessed July 28, 2009
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The Pharmacy Benefit Management Institute. Prescription drug benefit cost and plan design report, 2008-2009 edition. Takeda Pharmaceuticals North America, Inc. November 2008. Available at: http://www.pbmi.com/2008-report/pdfs/ Revised-Report-20112009.pdf. Accessed July 28, 2009.
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(2008)
Prescription Drug Benefit Cost and Plan Design Report, 2008-2009 Edition
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AWP Pricing Policy and List
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Thomson Reuters. Available at: Accessed July 15, 2009
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AWP Pricing Policy and List. Redbook. Thomson Reuters. Available at: http://www.micromedex.com/products/redbook/awp. Accessed July 15, 2009.
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Redbook
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70349500762
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Available at: Accessed July 15, 2009
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Elsevier Gold Standard ProspectoRx. Available at: http://www.prospectorx. com/keyElements.htm. Accessed July 15, 2009.
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Elsevier Gold Standard ProspectoRx
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65649097480
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DHHS Office of Inspector General Report no. OEI-03-08-00310. August Available at: Accessed July 27, 2009
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DHHS Office of Inspector General. Medicare payment for irinotecan. Report no. OEI-03-08-00310. August 2008. Available at: http://www.oig.hhs.gov/oei/ reports/oei-03-08-00310.pdf. Accessed July 27, 2009.
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(2008)
Medicare Payment for Irinotecan
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DHHS Office of Inspector General Report no. OEI-03-05-00200. June Available at: Accessed July 27, 2009
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DHHS Office of Inspector General. Medicaid drug price comparison: average sales price to average wholesale price. Report no. OEI-03-05-00200. June 2005. Available at: http://oig.hhs.gov/oei/reports/oei-03-05-00200.pdf. Accessed July 27, 2009.
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(2005)
Medicaid Drug Price Comparison: Average Sales Price to Average Wholesale Price
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DHHS Office of Inspector General. Calculation of volume-weighted average sales price for Medicare Part B prescription drugs. Report No. OEI-03-05-00310. February 2006. Available at: http://oig.hhs.gov/oei/reports/oei-03-05-00310.pdf. Accessed July 24, 2009.
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(2006)
Calculation of Volume-weighted Average Sales Price for Medicare Part B Prescription Drugs
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Congressional Budget Office December Available at: Accessed July 27, 2009
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Congressional Budget Office. Budget Options, Volume 1, Health Care. December 2008. Available at: http://www.cbo.gov/ftpdocs/99xx/doc9925/12-18- HealthOptions.pdf. Accessed July 27, 2009.
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Budget Options, Volume 1, Health Care
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DHHS Centers for Medicare & Medicaid Services. Determination of AMP. (Section 447.504)339. Available at: http://edocket.access.gpo.gov/cfr-2007/ octqtr/pdf/42cfr447.504.pdf. Accessed July 27, 2009.
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Determination of AMP. (Section 447.504)339
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DHHS Centers for Medicare & Medicaid Services. Center for Medicaid and State Operations. Letter to State Medicaid directors. SMDL 08-008, November 3, 2008. Available at: http://www.cms.hhs.gov/SMDL/downloads/SMD110308.pdf. Accessed July 27, 2009.
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Letter to State Medicaid Directors
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DHHS. Office of Inspector General. Comparison of Medicaid federal upper limit amounts to average manufacturer price. Report no. OE1-03-05-00110. June 2005. Available at: www.oig.hhs.gov/oei/reports/oei-03-05-00110.pdf. Accessed July 24, 2009.
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Comparison of Medicaid Federal Upper Limit Amounts to Average Manufacturer Price
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Prices for Brand-name Drugs under Selected Federal Programs
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Compilation of Social Security Laws. Use of Average Sales Price Payment Methodology
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Subcommittee on Federal Workforce. June 24, Available at: Accessed July 31, 2009
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