Back to News

Posted
February 05, 2010

Ohio Medicaid institutes drug co-pay plan

In a move aimed at saving the state about $243 million, about 1.5 million Ohioans enrolled in Medicaid managed care plans saw their prescription drug coverage altered on Feb. 1 (Source: “Ohio Medicaid changes to prescription drug coverage take effect today,” Cleveland Plain Dealer, Feb. 1, 2010).

Although all Ohioans enrolled in a Medicaid managed care plan were sent new cards over the past few weeks, perhaps the biggest change will affect about 400,000 enrollees who will now be responsible for drug co-pays of $3 for drugs that require prior authorization from Ohio Medicaid and $2 for trade-name drugs. There's no cost for generics. In some cases, beneficiaries may also be required to switch to generic drugs.

Prescriptions are expected to continue uninterrupted, according to state officials.

Attend HPIO's 2026 Health Policy Summit on Aug. 26

The Summit will draw insights from HPIO’s 2026 Health Value Dashboard to focus attention on the factors that drive population health and healthcare spending and build momentum for policy priorities that lead to improved health and well-being for Ohioans.

Register now