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under subsection 5 and professional fees, which must be set by | the commissioner. The amount of the initial professional fee | must be set at $3 per prescription. |
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| | E. The department shall collect utilization data from the | participating retail pharmacies submitting claims necessary | to calculate the amount of the rebate from the manufacturer | or labeler. The department shall protect the | confidentiality of all information subject to | confidentiality protection under state or federal law, rule | or regulation. |
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| | | F.__The department shall conduct ongoing quality assurance | | activities similar to those used in the MaineCare program. |
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| | | Sec. 5. 22 MRSA §2681, sub-§7, as enacted by PL 1999, c. 786, Pt. A, | | §3 and amended by PL 2001, c. 405, §2 and affected by §3, is | | repealed and the following enacted in its place: |
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| | | 7.__Action with regard to nonparticipating manufacturers and | | labelers.__The names of manufacturers and labelers who do not | | enter into rebate agreements pursuant to this subchapter are | | public information.__The department shall release this | | information to health care providers and the public.__The | | department shall impose prior authorization requirements in the | | MaineCare program, as permitted by law, to the extent the | | department determines it is appropriate to do so in order to | | encourage manufacturer and labeler participation in the program | | and so long as the additional prior authorization requirements | | remain consistent with the goals of the MaineCare program and the | | requirements of the federal Social Security Act, Title 19. |
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| | | This subsection is repealed when subsection 7-A takes effect. |
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| | | Sec. 6. 22 MRSA §2681, sub-§7-A is enacted to read: |
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| | | 7-A.__Action with regard to nonparticipating manufacturers and | | labelers.__The names of manufacturers and labelers who do and do | | not enter into rebate agreements pursuant to this subchapter are | | public information.__The department shall release this | | information to health care providers and the public on a regular | | basis and shall publicize participation by manufacturers and | | labelers that is of particular benefit to the public.__The | | department shall impose prior authorization requirements in the | | MaineCare program, as permitted by law, to the extent the | | department determines it is appropriate to do so in order to | | encourage manufacturer and labeler participation in the program | | and so long as the additional prior authorization requirements | | remain consistent with the goals of the MaineCare program and the | | requirements of the federal Social Security Act, Title 19. |
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