Action:
CH 0080 Pharmacy Supplemental Rebate/Unit Dose Fee/Drug Threshold
General Information
| Action Summary |
This action modifies the regulatory text for supplemental drug rebate agreements to make the agreement process easier and reduce paperwork. It removes the dispensing fee paid for unit dose drugs. It also removes the prior authorization requirement for noninstitutionalized and institutionalized individuals who use high numbers of legend drugs every month. |
| Chapters Affected |
| |
VAC |
Chapter Name |
Action Type |
| Primary |
12 VAC 30-80 |
Methods and Standards for Establishing Payment Rate; Other Types of Care |
Amend Existing Regulation
|
| Other chapters |
| |
12 VAC 30 - 50 |
Amount, Duration, and Scope of Medical and Remedial Care and Services |
|
|
| Executive Branch Review |
This action will go through the normal Executive Branch Review process.
|
| RIS Project |
Yes [003130] |
| Associated Mandates |
Eliminate Dispensing Fee for NF Unit Dose Drugs
|
| 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 |
|
6116
|
Fast-Track
|
Stage complete. This regulation became effective on 01/16/2014. |
Contact Information
|
Name / Title:
|
Emily McClellan
/
Regulatory Supervisor
|
|
Address:
|
600 E. Broad Street
Suite 1300
Richmond, VA 23219
|
|
Email Address:
|
Emily.McClellan@DMAS.Virginia.gov
|
|
Phone:
|
(804)371-4300
FAX: (804)786-1680
TDD: ()-
|
This person is the primary contact for this chapter.
