Virginia Regulatory Town Hall
Department of Medical Assistance Services
Board of Medical Assistance Services

General Notice
Pharmacy Reimbursement for Generic Drug Dispensing Fee
Date Posted: 3/2/2005
Expiration Date: 4/4/2005
Submitted to Registrar for publication: YES
No comment forum defined for this notice.





Notice of Intent to Modify Pharmacy Services Reimbursement

for Generic Drug Products – Increase Dispensing Fee


Notice is hereby given that the Department of Medical Assistance Services (DMAS) intends to modify its reimbursement plan for pharmacy services pursuant to the Department’s authority under Title XIX of the Social Security Act.  This notice is intended to satisfy the requirements of 42 C.F.R. § 447.205 and of § 1902(a)(13) of the Social Security Act, 42 U.S.C. § 1396a(a)(13).  The changes contained in this public notice are occurring in response to Chapter 4 of the 2004 Acts of the Assembly, Item 326 MMM directing DMAS to modify the reimbursement methodology used for generic drug products.

This new methodology will increase the dispensing fee for generic drugs from $3.75 to $4.00.  This permanent, final change is part of the agency’s pharmacy reimbursement, as set forth in 12 VAC 30-80-40. 


A copy of this notice is available for public review from H. Bryan Tomlinson, Director, Health Care Services Division, DMAS, 600 Broad Street, Suite 1300, Richmond, VA  23219, and this notice is available for public review at .  Comments or inquiries may be submitted, in writing, within 30 days of this notice publication to Mr. Tomlinson and such comments are available for review at the same address.

Contact Information
Name / Title: Katina Goodwyn 
Address: 600 E. Broad Street
Richmond, 23219
Email Address:
Telephone: (804)371-0428    FAX: (804)786-1680    TDD: (800)343-0634