Medicaid Unit Rebate Amount
A drug's Medicaid unit rebate amount.
Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Drug category
- Single source or innovator multiple source
- Average manufacturer price per unit
- 10 USD
- Best price per unit
- 6 USD
- Baseline AMP per unit
- 4 USD
- Baseline CPI-U
- 200
- CPI-U for the month before the quarter
- 300
Result: Unit rebate amount $8.000000: basic $4.000000 plus inflation $4.000000 per unit.
The tool opens with these values already filled in. Replace them with your own.
What you enter
- Drug category
- Average manufacturer price per unit
- Best price per unit (brand drugs)
- Baseline AMP per unit
- Baseline CPI-U
- CPI-U for the month before the quarter
- Year of the rebate quarter
How this is calculated
Citation
42 U.S.C. 1396r-8(c): brand basic rebate the greater of AMP minus best price or 23.1% of AMP (17.1% for clotting factors and pediatric-only drugs), generics 13%, each plus the CPI-U inflation rebate; the 100% of AMP cap applied only before 2024. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.