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Medicaid & Drugs Newsletter
  • 96,000 people on Medicaid move to Trillium: What we know so far 01 Feb 2026 13:47 GMT

    … behavioral health. For members with Medicaid & Medicare:  90 … Dental, pharmacy networks remain; drug coverage may vary  Dental … the list of prescription drugs a health plan prefers and … the member on the original medication.  Trillium expands workforce  …

  • Bethany paying $8.83M in drug test case 01 Feb 2026 12:34 GMT

    … Medicare, Medicaid and TRICARE for medically unnecessary urine drug tests given … believes that all urine drug tests ordered were reasonable, … proper use of prescription medications. Our patients are our … Bethany Medical of billing Medicaid and Medicare for a …

  • Medicaid Fraud Case Involving Former Hoosier Physician Reaches $1.7M Settlement 01 Feb 2026 04:52 GMT

    … pain medication prescriptions. Patients consented to provide urine samples for drug screening … more times for as many drugs. Those claims generated reimbursements of … retain money obtained through fraudulent Medicaid billing and reaffirmed their commitment …

  • ADHD diagnoses are significantly elevated among autistic adults on Medicaid 01 Feb 2026 00:16 GMT

    … intellectual disability were prescribed ADHD medication, while this was the case … were prescribed ADHD medication. “In this cohort study of Medicaid-enrolled adults … co-occurring ADHD, although ADHD medication prescriptions are associated with lower …

  • Former Indiana Doctor To Pay Nearly $1.7 Million in Medicaid Fraud Settlement 31 Jan 2026 23:45 GMT

    … of nine or more drugs or drug classes.   Using a … that case. The Indiana Medicaid program provides healthcare for … longer are endangering vulnerable Medicaid patients by practicing medicine, … from the Medicare and Medicaid programs.” The settlement was …

  • CVS Pharmacy to part ways with Horizon NJ Health Medicaid program 31 Jan 2026 11:17 GMT

    … that it would leave the Medicaid network "unless [they] … the State's Medicaid program is being financially strained … drugs for Horizon members and the taxpayers who fund Medicaid … competitive with other New Jersey Medicaid plans, but Horizon rejected …

  • Commentary: Stop abuse of federal program to lower drug prices 31 Jan 2026 10:19 GMT

    … created to provide discounted prescription medications to low-income and … pharmaceutical manufacturers to sell drugs for as little as … large numbers of uninsured and Medicaid patients. It’s a … The 340B program increased drug spending of Taft-Hartley plans …

  • Senate GOP Rejects Sanders Amendment to Give ICE's Extra $75 Billion to Medicaid 31 Jan 2026 01:45 GMT

    … and direct that money toward Medicaid "to prevent hundreds of … safety net programs such as Medicaid, which provides health coverage to … to receive low-cost generic drugs and expands pediatric cancer research …

  • Medicare to Negotiate Lower Prices for Botox and Other Drugs 30 Jan 2026 22:29 GMT

    … — Fifteen prescription medications, including Botox and the diabetes drug Trulicity, will be … Medicare & Medicaid Services (CMS). Part B covers drugs like intravenous … . The medications up for negotiation this year include: Cancer drugs: Erleada …

  • <![CDATA[What Pharmacists Should Know About Most Favored Nation as Drug Prices Continue to Rise]]> 30 Jan 2026 19:29 GMT

    … for key drugs in their pipelines for patients on Medicaid and align … with a most favored nation (MFN) drug pricing … many medications. In many cases, these price hikes are occurring for drugs

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