The Effective Medicaid Pharmacy Program: A White Paper for Medicaid Directors and State Agency Personnel

UMMS Affiliation

Commonwealth Medicine, Clinical Delivery Solutions; Department of Family Medicine and Community Health

Publication Date


Document Type

White Paper


Health Economics | Health Law and Policy | Health Policy | Health Services Administration | Health Services Research | Pharmacy Administration, Policy and Regulation


In June 2019, NESCSO and Commonwealth Medicine jointly released a white paper titled The Effective Medicaid Pharmacy Program. Through information compiled from stakeholder interviews and an environmental scan, this brief paper reviews components of an effective Medicaid pharmacy program and provides practical information for Medicaid programs and state leadership. An effective Medicaid pharmacy program provides members with access to medically necessary medications that are cost-effective, aligned with best clinical practice, and provided in a transparent environment. It is important consider a program’s administrative structure, pharmacy benefit delivery system, and influence of external factors in the achievement of these goals.


NESCSO, Medicaid pharmacy program, medications, administration

Rights and Permissions

© 2019. New England States Consortium Systems Organization and University of Massachusetts Medical School

Journal/Book/Conference Title

Commonwealth Medicine Publications