California Welfare and Institutions Code ARTICLE 6.1 - Medi-Cal Therapeutic Drug Utilization Review

• Section 14195.
  It is the intent of the Legislature to provide medical assistance, including prescribed drugs, to the state’s eligible poor in a manner consistent with the...
• Section 14195.2.
  The open drug formulary, as established pursuant to this article, shall be implemented in one pilot project site. The site shall be located in a...
• Section 14195.3.
  (a) For purposes of the open drug formulary pilot project as established by this article, a provider may be reimbursed for any drug prescribed to a...
• Section 14195.4.
  A Medi-Cal Therapeutic Drug Utilization and Review Committee is hereby established. The committee shall be composed of 17 members who shall serve at the pleasure...
• Section 14195.5.
  The Medi-Cal Therapeutic Drug Utilization and Review Committee shall set standards for evaluation of the therapeutic outcomes of prescribed drugs to be applied by an...
• Section 14195.6.
  The department shall develop a request for a proposal, and may award a contract to an expert contractor to implement the standards and practices established...
• Section 14195.7.
  This article shall not apply to any service rendered by a provider in conjunction with any capitated rate or primary care case contract negotiated pursuant...
• Section 14195.9.
  In no case shall the director’s discretion under Section 14120 be exercised to reduce reimbursement to providers of pharmaceutical services because of increased costs in...
• Section 14196.
  (a) The department shall adopt any regulations necessary to implement this article. These regulations shall be adopted as emergency regulations in accordance with Chapter 3.5 (commencing...

Last modified: October 22, 2018