| 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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