| | | Be it enacted by the People of the State of Maine as follows: |
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| | | Sec. 1. 22 MRSA §254, sub-§8, as amended by PL 1999, c. 786, Pt. B, | | §1, is further amended to read: |
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| | | 8. Drug rebate program. Effective May 1, 1992, payment must | | be denied for drugs from manufacturers that do not enter into a | | rebate agreement with the department for prescription drugs | | included in the list of approved drugs under this program. Each | | agreement must provide that the pharmaceutical manufacturer make | | rebate payments for both the basic and supplemental components of | | the program to the department according to the following | | schedule. |
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| | | B. For the quarters beginning October 1, 1992, the rebate | | percentage is equal to the percentage recommended by the | | federal Health Care Financing Administration of the | | manufacturer's wholesale price for the total number of | | dosage units of each form and strength of a prescription | | drug that the department reports as reimbursed to providers | | of prescription drugs, provided payments are not due until | | 30 days following the manufacturer's receipt of utilization | | data supplied by the department, including the number of | | dosage units reimbursed to providers of prescription drugs | | during the period for which payments are due. |
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| | | C. Beginning October 1, 1998, the department shall seek to | | achieve an aggregate rebate amount from all rebate | | agreements that is 6 percentage points higher than that | | required by paragraph B of this subsection, provided such | | rebates result in a net increase in the rebate revenue | | available to the elderly low-cost drug program. In the | | event the department is not able to achieve the rebate | | amount required by this paragraph without compromising the | | best interest of recipients of the elderly low-cost drug | | program, it shall report to the joint standing committee of | | the Legislature having jurisdiction over health and human | | services matters and the joint standing committee of the | | Legislature having jurisdiction over appropriations and | | financial affairs in the First Regular Session of the 119th | | Legislature. |
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| | | Upon receipt of data from the department, the pharmaceutical | | manufacturer shall calculate the quarterly payment. If a | | discrepancy is discovered, the department may, at its expense, | | hire a mutually agreed-upon independent auditor to verify the | | pharmaceutical manufacturer's calculation. If a discrepancy is | | still found, the pharmaceutical manufacturer shall justify its | | calculation or make payment to the department for any additional | | amount due. The pharmaceutical manufacturer may, at its expense, |
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