Search Virginia.Gov
    Agencies | Governor
Virginia Regulatory Town Hall
Agency
Department of Medical Assistance Services
Board
Board of Medical Assistance Services
chapter
Methods and Standards for Establishing Payment Rate; Other Types of Care [12 VAC 30 ‑ 80]
Action:
CH 0080 Pharmacy Supplemental Rebate/Unit Dose Fee/Drug Threshold
 
General Information
Action Summary This action modifies the regulatory text for supplemental drug rebate agreements to make the agreement process easier and reduce paperwork. It removes the dispensing fee paid for unit dose drugs. It also removes the prior authorization requirement for noninstitutionalized and institutionalized individuals who use high numbers of legend drugs every month.
Chapters Affected
  VAC Chapter Name Action Type
Primary 12 VAC 30-80 Methods and Standards for Establishing Payment Rate; Other Types of Care Amend Existing Regulation
Other chapters
  12 VAC 30 - 50 Amount, Duration, and Scope of Medical and Remedial Care and Services
Exempt from APA No, this action is subject to the Administrative Process Act and the standard executive branch review process.
RIS Project Yes  [003130]
Associated Mandates Eliminate Dispensing Fee for NF Unit Dose Drugs
 
Stages
Stages associated with this regulatory action.
Stage ID Stage Type Status
6116 Fast-Track Stage complete. This regulation became effective on 1/16/2014.
 
Contact Information
Name / Title: Brian McCormick  / Regulatory Supervisor
Address: 600 E. Broad Street
Suite 1300
Richmond, VA 23219
Email Address: Brian.McCormick@DMAS.Virginia.gov
Phone: (804)371-8856    FAX: (804)786-1680   

This person is the primary contact for this chapter.