English to Romanian Other Medical: Health Care

Verification that the pharmacy’s usual and customary charges are consistent with the Medicaid Program and the general public.
Items that must be considered include but are not limited to:
a. Verification that the pricing method used for at least 90% of the private-pay prescriptions is consistent with charges to the Medicaid Program.
Price variations in individual drugs and quantity will be noted. When a price for a prescription varies more than 10% within a given time frame, auditors will select the most prevalent price as usual and customary.