Does this change apply to both Medi-Cal FFS and Medi-Cal Managed Care?
The requirement to dispense 340B program drugs applies to the Medi-Cal FFS program and rebate-eligible County Organized Health System (COHS) plans. Reimbursement is based on the applicable contract rates with the individual plans. • What is meant by “actual acquisition cost?” A: In determining the actual acquisition cost, DHCS considers any reasonable method utilized by the covered entity to determine the acquisition cost. Acquisition cost can include shipping and handling charges actually incurred by the covered entity in connection with the purchase of 340B program drugs. The covered entity shall reduce its incurred cost by any discounts, rebates, refunds, price reductions or credits actually received by the covered entity and that are directly attributable 340B program drugs. Costs of the covered entity that are incurred during the dispensing of a drug shall not be used to determine the acquisition cost of a drug.
