StacksVerified U.S. regulatory reference

45 CFR §162.1901

Verified against eCFR.gov as of June 20, 2026View official text on eCFR.gov ↗
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.