PDFWAC 182-530-8000

Reimbursement method—Actual acquisition cost (AAC).

The medicaid agency uses the following sources to determine point-of-sale actual acquisition cost (POS AAC) including, but not limited to:
(1) National average drug acquisition cost (NADAC) published by the Centers for Medicare and Medicaid Services (CMS);
(2) Acquisition cost data made available to the agency by:
(a) Audit results from federal or state agencies;
(b) Other state health care purchasing organizations;
(c) Pharmacy benefit managers;
(d) Individual pharmacy providers participating in the agency's programs;
(e) Other third-party payers;
(f) Drug file databases; and
(g) Actuaries or other consultants.
[Statutory Authority: RCW 41.05.021 and 41.05.160. WSR 17-07-001, § 182-530-8000, filed 3/1/17, effective 4/1/17; WSR 16-01-046, § 182-530-8000, filed 12/9/15, effective 1/9/16. WSR 11-14-075, recodified as § 182-530-8000, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.04.050 and 74.08.090. WSR 10-24-021, § 388-530-8000, filed 11/19/10, effective 12/20/10. Statutory Authority: RCW 74.04.050, 74.08.090, 74.09.530, and 74.09.700. WSR 07-20-049, § 388-530-8000, filed 9/26/07, effective 11/1/07.]