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California Medi-Cal

Executive Summary

Projects drug rebate savings of $103 mil. for FY 1993 that began on July 1, based on current receipts. The state projects drug ingredient expenditures of about $780 mil. over the year. Pharmaceutical proposals on the table to help break the state's current budget impasse include raising the minimum rebate level to 25%; adding a "supplemental" rebate to the current rebate; selective contracting with pharmacies; and also therapeutic substitution ("The Pink Sheet" May 11, p. 4).

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