LD 1325
pg. 6
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LR 1609
Item 1

 
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.

 
(b)__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 subdivision
(a), provided such rebates result in a net
increase in the rebate revenue available to the
elderly low-cost drug program.

 
(2)__Upon receipt of data from the department, the
manufacturer shall calculate the quarterly payment.

 
(a)__If a discrepancy is discovered, the
department may, at its expense, hire a mutually
agreed-upon independent auditor to verify the
manufacturer's calculation.

 
(b)__If a discrepancy is still found, the
manufacturer shall justify its calculation or make
payment to the department for any additional
amount due.

 
(c) The manufacturer may, at its expense, hire a
mutually agreed-upon independent auditor to verify
the accuracy of the utilization data provided by
the department.__If a discrepancy is discovered,
the department shall justify its data or refund
any excess payment to the manufacturer.

 
(d) If the dispute over the rebate amount is not
resolved, a request for a hearing with supporting
documentation must be submitted to the
department's office of administrative hearings.__
Failure to resolve the dispute may be cause for
terminating the drug rebate agreement and denying
payment to the manufacturer for any drugs.

 
(3)__A prescription drug of a manufacturer that does
not enter into an agreement pursuant to this paragraph
is reimbursable only if the department determines the
prescription drug is essential.

 
(4)__All prescription drugs of a manufacturer that enters into an
agreement pursuant to this paragraph that appear on the list of
approved drugs under the


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