| Maine | Washington |
---|---|---|
Drug Product Cost | Community General: AWP-15% Direct supply drug list:* Usual & customary charge or AWP-17% plus $3.35 professional fee or FUL or MAC plus $3.35 professional fee Mail order Lowest of: usual & customary charge, AWP-20% plus $1.00 professional fee, or FUL or MAC plus $1.00 professional fee | Community AWP-14% single source & multiple source (w/2–4 manufacturers) AWP-50% multiple source from 5+ manufactures Mail order AWP-19% (brand-mail order), AWP-15% (generic-mail order) |
Dispensing Fee | Community and Mail Order $3.35; $4.35 5.35(compounding);$12.50 (insulin syringe) | Community $4.20–$5.20 Mail order $3.25 |
Co-Payment | Community $2.50 generic & brand, not to exceed $25/mo. Mail order None | Community and Mail Order None |