Virginia has outpaced the national average in Medicaid spending, an analysis of data by groups of pharmacists found. Pharmacists United for Truth and Transparency and Strategic DirectionsRX conducted an analysis of state Medicaid prescription drug spending between 2017 and 2023. It found that Virginia has spent between $1,000 more to $1 million more than the national average in recent years. This year, lawmakers also passed legislation to create a single state-contracted PBM to handle Medicaid in Virginia and Gov. The new report indicates that Virginia’s Medicaid prescription drug plans are returning 20% of gross drug spending back to Medicaid through manufacturer rebates.