LD 1634
pg. 5
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LR 2173
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under subsection 5 and professional fees, which must be set by
the commissioner. The amount of the initial professional fee
must be set at $3 per prescription.

 
E. The department shall collect utilization data from the
participating retail pharmacies submitting claims necessary
to calculate the amount of the rebate from the manufacturer
or labeler. The department shall protect the
confidentiality of all information subject to
confidentiality protection under state or federal law, rule
or regulation.

 
F.__The department shall conduct ongoing quality assurance
activities similar to those used in the MaineCare program.

 
Sec. 5. 22 MRSA §2681, sub-§7, as enacted by PL 1999, c. 786, Pt. A,
§3 and amended by PL 2001, c. 405, §2 and affected by §3, is
repealed and the following enacted in its place:

 
7.__Action with regard to nonparticipating manufacturers and
labelers.__The names of manufacturers and labelers who do not
enter into rebate agreements pursuant to this subchapter are
public information.__The department shall release this
information to health care providers and the public.__The
department shall impose prior authorization requirements in the
MaineCare program, as permitted by law, to the extent the
department determines it is appropriate to do so in order to
encourage manufacturer and labeler participation in the program
and so long as the additional prior authorization requirements
remain consistent with the goals of the MaineCare program and the
requirements of the federal Social Security Act, Title 19.

 
This subsection is repealed when subsection 7-A takes effect.

 
Sec. 6. 22 MRSA §2681, sub-§7-A is enacted to read:

 
7-A.__Action with regard to nonparticipating manufacturers and
labelers.__The names of manufacturers and labelers who do and do
not enter into rebate agreements pursuant to this subchapter are
public information.__The department shall release this
information to health care providers and the public on a regular
basis and shall publicize participation by manufacturers and
labelers that is of particular benefit to the public.__The
department shall impose prior authorization requirements in the
MaineCare program, as permitted by law, to the extent the
department determines it is appropriate to do so in order to
encourage manufacturer and labeler participation in the program
and so long as the additional prior authorization requirements
remain consistent with the goals of the MaineCare program and the
requirements of the federal Social Security Act, Title 19.


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