Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
Board
Board of Medical Assistance Services
chapter
Amount, Duration, and Scope of Medical and Remedial Care and Services [12 VAC 30 ‑ 50]
Action:
PDL, P&T Com, Drug Rebates, UR of High Drug Thresholds
Action 1422
 
General Information
Action Summary This action establishes the Preferred Drug List, the Pharmacy and Therapeutics Committee, state supplemental rebates, and prospective and retrospective utilization review processes of patterns of pharmacy services usage when high numbers of prescription drugs are used.
Chapters Affected
  VAC Chapter Name Action Type
Primary 12 VAC 30-50 Amount, Duration, and Scope of Medical and Remedial Care and Services Amend Existing Regulation
Other chapters
  12 VAC 30 - 130 Amount, Duration and Scope of Selected Services
  12 VAC 30 - 80 Methods and Standards for Establishing Payment Rate; Other Types of Care
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project No project yet assigned to this action
Associated Mandates
New Periodic Review This action will not be used to conduct a new periodic review.
 
Stages
Stages associated with this regulatory action.
Stage ID Stage Type Status
2484 Emergency/NOIRA Stage complete. Emergency regulation superseded by final permanent regulation.
2559 Emergency/NOIRA Stage complete. Emergency regulation superseded by final permanent regulation.
2636 Emergency Stage complete. Emergency regulation superseded by final permanent regulation.
2685 Proposed Stage complete. Comment period ended 09/24/2004.
2952 Final Stage complete. This regulation became effective on 01/03/2005.
 
Contact Information
Name / Title: Adrienne Fegans  / Operational Program Manager
Address: Div. of Health Care Services, DMAS
600 E. Broad St., Suite 1300
Richmond, VA 23219
Email Address: Adrienne.Fegans@dmas.virginia.gov
Phone: (804)786-4112    FAX: (804)786-1680