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Share it Medicaid could receive larger rebates from drugmakers beginning in 2024 under legislation signed Thursday by President Joe Biden — so large that some pharmaceutical companies could essentially end up paying states to use their drugs. The provision is tucked into the massive $1.9 trillion pandemic relief package and eliminates what's known as the Medicaid "penny rule." The obscure law has limited the mandatory rebates drugmakers pay to Medicaid to 100% of the average manufacturer price, or what wholesalers are charged after initial discounts. In the event required rebates total up t...