C.F.R. » Title 45 » SUBCHAPTER C—ADMINISTRATIVE DATA STANDARDS AND RELATED REQUIREMENTS › PART 162—ADMINISTRATIVE REQUIREMENTS › Subpart S—Medicaid Pharmacy Subrogation

45 C.F.R. § 162.1901

Medicaid pharmacy subrogation transaction

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The Medicaid pharmacy subrogation transaction is the transmission of a claim from a Medicaid agency to a payer for the purpose of seeking reimbursement from the responsible health plan for a pharmacy claim the State has paid on behalf of a Medicaid recipient.