This report was prepared by Jeffrey R. Lewis, President of the Heinz Family Philanthropies (jlewis@heinzoffice.org). Mr. Lewis received valuable technical assistance from Mercer Human Resource Consulting. To view the report, click the section titles below. Entire Report (PDF) Letter from the Chairman Why This Report? The State of Play: Prescription Drug Costs and Usage in the United States Today How the State Agencies Administer Prescription Drug Programs in the Commonwealth of Virginia Key Findings What is Coordinated Contracting of Prescription Drugs? Fiscal and Policy Implications of the Current Programs 340B Prescription Drug Pricing: Opportunities are Available What Does This Mean for the Commonwealth of Virginia? Appendix A, Prioritized Recommendations Appendix B, Glossary of Terms/Acronyms