If a dispute over the rebate amount is not resolved, a request for a hearing, along with supporting documentation, must be submitted to the Office of Administrative Hearings.__Failure to resolve the dispute may be cause for terminating the drug rebate agreement and denying payment to the pharmaceutical manufacturer for any drugs.

All prescription drugs of a pharmaceutical manufacturer who enters into an agreement pursuant to this subsection that appear on the approved list of drugs must be immediately available and the cost of the drugs must be reimbursed and is not subject to any restrictions or prior authorization requirements.__Any prescription drug of a pharmaceutical manufacturer who does not enter into an agreement is not reimbursable unless the department determines the prescription drug is essential.

SUMMARY

This bill raises the maximum eligibility level to 200% of the federal poverty line in order to provide Cub Care program benefits to those children whose families fall within this eligibility level. This bill also establishes a drug rebate program within the Cub Care program similar to the elderly low- cost drug program.