October 29, 2013, Introduced by Senators CASWELL and COLBECK and referred to the Committee on Reforms, Restructuring and Reinventing.
A bill to amend 1939 PA 280, entitled
"The social welfare act,"
(MCL 400.1 to 400.119b) by adding section 109l.
THE PEOPLE OF THE STATE OF MICHIGAN ENACT:
Sec. 109l. The department of community health and contracted
health plans shall utilize maximum allowable cost pricing for
generic drugs that is based on wholesaler pricing to providers and
pharmacists that is available from and provided to wholesalers who
deliver in this state. A process for maximum allowable cost pricing
reconsiderations must be available and provided to providers and
pharmacists. This process must include identification of up to 3
national drug codes for the drug in question that are actually
available and deliverable by a Michigan licensed wholesaler or a
Michigan licensed manufacturer and would fall into the department
of community health or drug plans maximum allowable cost pricing.
The process must be completed in 7 days. If the process is not
completed in 7 days, the contracted health plan or the pharmacy
benefit manager shall pay 3 times the cost of the drug to the
pharmacist.