1. Rizzo, Fox, Trail, and Crystal, State Pharmacy Assistance Programs: A Chartbook—Updated and Revised, January 2007
Average Cost per Claim, 2003
The average state cost per claim was $50.00 in 2003.
Cost per claim ranged from $16.64 in Indiana to $78.05 in Connecticut.
Cost per claim is affected by the level of consumer cost-sharing at the point of sale, the number of days’ supply per claim allowed by a program, the drug mix utilized by beneficiaries, and the pharmacy reimbursement rate.
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