LD 1324
pg. 3
Page 2 of 3 PUBLIC Law Chapter 343 LD 1324 Title Page
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LR 1608
Item 1

 
current contracts, except for amendments required to implement
the joint pharmaceutical purchasing effort;

 
B. The members of participating plans have open access to
all prescription drugs, as medically needed. The council
shall design and implement a 3-tiered pharmaceutical
benefit;

 
C. Full coverage of certain drugs is contingent upon
satisfaction of clinical criteria;

 
D. A preferred drug list identifies clinically efficacious
high-quality prescription drugs that are also cost-
effective; these drugs may not require prior approval. The
preferred drug list must to the extent possible be based on
MaineCare's preferred drug list and must be advised by
MaineCare's clinical drug utilization committee;

 
E. Administrative efficiencies are realized by pooled
purchasing; clinically efficacious, cost-effective drugs are
preferred; and rebates are negotiated on behalf of the
entire group;

 
F. Reimbursement for prescription generic drugs are is
capped at maximum allowable costs or the MaineCare bid
price, whichever is lower;

 
G. Incentives may be implemented to reward the use of mail
order, and community pharmacies will be are given the
opportunity to provide medications under the same terms as
mail-order pharmacies; and

 
H. All participating plans share in the savings realized
through the pooled purchasing effort.

 
Sec. 2. Report. By February 1, 2006, the Pharmaceutical Cost
Management Council established in the Maine Revised Statutes,
Title 5, section 2031 shall report to the joint standing
committee of the Legislature having jurisdiction over health and
human services matters regarding its work and findings with
regard to cost containment tools, including, but not limited to,
academic detailing and evidence-based prescribing.


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