Connecticut General Statutes
Chapter 319ff - Prescription Drug Assistance
Section 17b-491b. - Reimbursement formula for drugs used to treat hemophilia A.

The maximum allowable cost paid for antihemophilic Factor VII, VIII, IX and X products under the Medicaid program shall be the actual acquisition cost as reflected on the manufacturer's invoice plus eight per cent plus the professional dispensing fee established for covered outpatient drugs.

(June Sp. Sess. P.A. 00-2, S. 35, 53; P.A. 04-76, S. 22; P.A. 11-44, S. 131; P.A. 13-234, S. 100; June Sp. Sess. P.A. 17-2, S. 200.)
History: June Sp. Sess. P.A. 00-2 effective July 1, 2000; P.A. 04-76 deleted reference to “general assistance”; P.A. 11-44 deleted “state-administered general assistance”, effective July 1, 2011; P.A. 13-234 deleted reference to ConnPACE program, effective January 1, 2014; June Sp. Sess. P.A. 17-2 deleted provision re Factor VIII pharmaceuticals, added “antihemophilic Factor VII, VIII, IX and X products”, added reference to manufacturer's invoice re acquisition cost and added “plus the professional dispensing fee established for covered outpatient drugs”, effective October 31, 2017.

Structure Connecticut General Statutes

Connecticut General Statutes

Title 17b - Social Services

Chapter 319ff - Prescription Drug Assistance

Section 17b-490. (Formerly Sec. 17a-340). - Definitions.

Section 17b-491. (Formerly Sec. 17a-342). - Pharmaceutical Assistance Program. Copayments. Reimbursement of prescriptions based on price paid by pharmacy and actual package size. Rebates and utilization review required for participating pharmaceutica...

Section 17b-491a. - Prior authorization requirements for prescription drugs. Schedule for dispensing of maximum quantities of oral dosage units. Submission of schedule and revisions thereto to General Assembly.

Section 17b-491b. - Reimbursement formula for drugs used to treat hemophilia A.

Section 17b-491c. - Rebates for prescription drugs covered under state medical assistance program. Calculating of unit rebate amounts. Contracts for supplemental rebates. Pharmaceutical manufacturers' participation in program. Rebates for new drugs....

Section 17b-492. (Formerly Sec. 17a-343). - Eligibility. Application period. Registration fee. ConnPACE program requirements. Payment for original and replacement prescriptions. Application prior to exhausting coverage. Regulations.

Section 17b-492a. - Participating pharmacy. Requirements.

Section 17b-492b. - Authority of Commissioner of Developmental Services with respect to the Medicare Part D program.

Section 17b-492c. - Authority of Commissioner of Mental Health and Addiction Services with respect to the Medicare Part D program.

Section 17b-492d. - Council to advise on implementation of Medicare Part D program. Duties. Membership. Annual report.

Section 17b-493 to 17b-498. (Formerly Secs. 17a-344 to 17a-349). - Generic substitution required. Regulations. Contract with fiscal intermediary; reports. Hearing. Penalties. Educational outreach program.

Section 17b-499. - Pharmacy outreach program: Definitions.

Section 17b-499a. - Pharmacy outreach program. Established. Purpose. Duties. Report. Medicaid therapy management services pilot program.

Section 17b-500 to 17b-519. - Reserved for future use.