MedicaidReimbursementLow impact
Changes to Estimated Acquisition Cost of Drugs
Maryland Medicaid·MD · Pharmacy·Pharmacy
Effective date
Feb 1, 2004
We identified it
Jun 20, 2026
Summary
Maryland Medicaid is changing how they calculate the estimated acquisition cost (EAC) for prescription drugs effective February 1, 2004. The new calculation method will use the lowest of: AWP minus 12%, WAC plus 8%, Direct Price plus 8%, or Distributor's price plus 8%.
Action Required
No action required for current operations - this is a 20-year-old Maryland Medicaid pharmacy reimbursement policy that has been superseded by current policies.