2020 Ohio Revised Code
Title 51 | Public Welfare
Chapter 5167 | Medicaid Managed Care
Section 5167.243 | Quarterly Reports.
Effective: October 17, 2019
Latest Legislation: House Bill 166 - 133rd General Assembly
(A) The state pharmacy benefit manager shall provide to the medicaid director a written quarterly report containing the following information from the immediately preceding quarter:
(1) The prices that the state pharmacy benefit manager negotiated for prescribed drugs under the care management system. The price must include any rebates the state pharmacy benefit manager received from the drug manufacturer;
(2) The prices the state pharmacy benefit manager paid to pharmacies for prescribed drugs;
(3) Any rebate amounts the state pharmacy benefit manager passed on to individual pharmacies;
(4) The percentage of savings in drug prices that are passed on to participants in the care management system;
(5) The information described in division (C) of section 5167.24 of the Revised Code;
(6) Any other information required by the director.
(B) The director may ask the state pharmacy benefit manager to provide additional information as necessary and shall collect other clinical data from the state pharmacy benefit manager as the director sees fit.
(C) At the time of contract execution, renewal, or modification, the department shall modify the reporting requirements under its medicaid managed care organization contracts as necessary to meet the requirements of this section.
