Tag: Medicaid generic drugs

Medicaid Generic Drug Policies: How States Are Cutting Prescription Costs

Medicaid Generic Drug Policies: How States Are Cutting Prescription Costs

Kaleb Gookins
15 Dec 2025

States are using MAC lists, mandatory substitution, and price gouging laws to control Medicaid generic drug costs. With generics making up 85% of prescriptions but only 16% of spending, these policies save billions - but supply chain risks and PBM opacity threaten their success.