May 10, 2017 Pharmacy Benefits Management Program – Provider Participation and Reimbursement LAC 50:XXIX.Chapters 1 and 9

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Amends the provisions governing the Pharmacy Benefits Management Program in order to clarify the provisions of the January 20, 2017 Notice of Intent and to:  1) revise the definitions for usual and customary charge and general public; 2) clarify billing/reimbursement requirements for 340B entities that are carved-out of Medicaid; 3) revise the reimbursement language for Federal Supply Schedule and Nominal Price; 4) revise the definition for contract pharmacy; and 5) clarify professional dispensing fee provisions.

Contact Information:  Jen Steele, Bureau of Health Services Financing, P.O. Box 91030, Baton Rouge, LA 70821-9030

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Disclaimer:  Please note that the official versions of the Notices of Intent are maintained by the Office of State Register’s website at http://www.doa.louisiana.gov/osr/osr.htm.  The excerpted versions of these Notices of Intent contained on this website are provided as a courtesy service to the public and is unofficial and should not be regarded as such. Users are encouraged to visit the Office of State Register’s website for the official version.

RELATED ITEMS

• Emergency Rule: N/A                             
• Notice of Intent: Prior to Proposed Rule: March 2017 LAC
• Notice of Intent: Proposed Rule
• Notice of Intent: May 20, 2017 (Louisiana Register)
• Public Hearing: June 29, 2017
• Oversight Report: N/A
• Oversight Hearing: N/A
• Final Rule: N/A