5111.082 State maximum allowable cost program. - Ohio Statutes

5111.082 State maximum allowable cost program.

(A) As used in this section:

(1) “State maximum allowable cost” means the per unit amount the department of job and family services reimburses a terminal distributor of dangerous drugs for a prescription drug included in the state maximum allowable cost program established under division (B) of this section. “State maximum allowable cost” excludes dispensing fees and copayments, coinsurance, or other cost-sharing charges, if any.

(2) “Terminal distributor of dangerous drugs” has the same meaning as in section 4729.01 of the Revised Code.

(B) The director of job and family services shall establish a state maximum allowable cost program for purposes of managing reimbursement to terminal distributors of dangerous drugs for prescription drugs identified by the director pursuant to this division. The director shall do all of the following with respect to the program:

(1) Identify and create a list of prescription drugs to be included in the program.

(2) Update the list of prescription drugs described in division (B)(1) of this section on a weekly basis.

(3) Review the state maximum allowable cost for each drug included on the list described in division (B)(1) of this section on a weekly basis.

(C) The director may adopt rules in accordance with Chapter 119. of the Revised Code to implement this section.

Effective Date: 07-01-2006