California Health and Safety Code CHAPTER 2 - Prescription Drug Discounts

  • Section 130505.
    (a) The amount a participating, eligible Californian pays for a drug through the program shall be equal to the lower of the participating pharmacy’s usual and...
  • Section 130506.
    (a) The department shall negotiate drug discount agreements with manufacturers to provide discounts for single-source and multiple-source prescription drugs through the program. The department shall attempt...
  • Section 130507.
    (a) On August 1, 2017, the department shall determine whether manufacturer participation in the program has been sufficient to meet both of the following benchmarks:(1) The number...
  • Section 130508.
    To the maximum extent possible, the department shall assure that enrollment and other administrative actions are seamless to all eligible Californians.(Added by Stats. 2006, Ch....
  • Section 130509.
    (a) The department may require prior authorization in the Medi-Cal program for any drug of a manufacturer if the manufacturer fails to agree to a volume...
  • Section 130510.
    The names of manufacturers of single-source drugs that do or do not enter into discount agreements with the department pursuant to this division shall be...
  • Section 130511.
    (a) Each drug discount agreement shall do all of the following:(1) Specify which of the manufacturer’s drugs are included in the agreement.(2) Permit the department to remove a...
  • Section 130512.
    (a) The department shall generate a monthly report that, at a minimum, provides all of the following:(1) Drug utilization information.(2) Amounts paid to pharmacies.(3) Program discounts compared to the...
  • Section 130513.
    (a) The department shall establish and maintain a claims processing system that complies with all of the following requirements:(1) Charges a price that meets the requirements of...

Last modified: October 22, 2018