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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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| (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. |
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| (2)__Upon receipt of data from the department, the | manufacturer shall calculate the quarterly payment. |
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| (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. |
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| (b)__If a discrepancy is still found, the | manufacturer shall justify its calculation or make | payment to the department for any additional | amount due. |
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| (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. |
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| (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. |
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| (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. |
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| (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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