LD 1816
pg. 1
LD 1816 Title Page An Act to Preserve Maine Pharmacies Page 2 of 2
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LR 1201
Item 1

 
Be it enacted by the People of the State of Maine as follows:

 
Sec. 1. 22 MRSA §254, sub-§8, as amended by PL 1999, c. 786, Pt. B,
§1, is further amended to read:

 
8. Drug rebate program. Effective May 1, 1992, payment must
be denied for drugs from manufacturers that do not enter into a
rebate agreement with the department for prescription drugs
included in the list of approved drugs under this program. Each
agreement must provide that the pharmaceutical manufacturer make
rebate payments for both the basic and supplemental components of
the program to the department according to the following
schedule.

 
B. For the quarters beginning October 1, 1992, the rebate
percentage is equal to the percentage recommended by the
federal Health Care Financing Administration of the
manufacturer's wholesale price for the total number of
dosage units of each form and strength of a prescription
drug that the department reports as reimbursed to providers
of prescription drugs, provided payments are not due 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.

 
C. 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 paragraph B of this subsection, provided such
rebates result in a net increase in the rebate revenue
available to the elderly low-cost drug program. In the
event the department is not able to achieve the rebate
amount required by this paragraph without compromising the
best interest of recipients of the elderly low-cost drug
program, it shall report to the joint standing committee of
the Legislature having jurisdiction over health and human
services matters and the joint standing committee of the
Legislature having jurisdiction over appropriations and
financial affairs in the First Regular Session of the 119th
Legislature.

 
Upon receipt of data from the department, the pharmaceutical
manufacturer shall calculate the quarterly payment. If a
discrepancy is discovered, the department may, at its expense,
hire a mutually agreed-upon independent auditor to verify the
pharmaceutical manufacturer's calculation. If a discrepancy is
still found, the pharmaceutical manufacturer shall justify its
calculation or make payment to the department for any additional
amount due. The pharmaceutical manufacturer may, at its expense,


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