Fee-for-service (FFS) Medicaid specialty drug net cost per claim increased by more than 20% from 2015 to 2016. The average gross cost per specialty drug claim was $1,786.17 in 2015; and $2,194.27 in 2016, an increase of 22.8%. The average net cost per claim was $942.72 in 2015; and $1,136.60 during 2016, an increase of 20.5%. In the aggregate for both specialty and non-specialty drugs, the Medicaid FFS trend for all drugs increased 5.2% ($5.29) at the gross cost per claim level and 1.9% ($0 . . .
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