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The market priced drug exception is a provision that allows certain drugs to be priced at market rates rather than the usual Medicaid reimbursement rates.
Pharmaceutical manufacturers are required to file market priced drug exception.
The market priced drug exception form can be filled out electronically and submitted through the Medicaid program's online portal.
The purpose of market priced drug exception is to ensure that manufacturers are able to provide drugs at market rates without facing penalties.
The market priced drug exception form requires information on the drug, its market price, and the reasons for pricing it above Medicaid reimbursement rates.
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