PRINTER'S NO. 1133
No. 1031 Session of 1981
INTRODUCED BY DIETZ, RICHARDSON, BARBER, PUNT, SALVATORE,
PERZEL, WESTON, ROCKS, BOYES AND WOGAN, MARCH 25, 1981
REFERRED TO COMMITTEE ON HEALTH AND WELFARE, MARCH 25, 1981
AN ACT
1 Amending the act of June 13, 1967 (P.L.31, No.21), entitled "An
2 act to consolidate, editorially revise, and codify the public
3 welfare laws of the Commonwealth," providing for the
4 reimbursement allowable for certain prescribed medications to
5 those authorized to fill them and adding to the duties of the
6 Department of Welfare.
7 The General Assembly of the Commonwealth of Pennsylvania
8 hereby enacts as follows:
9 Section 1. The act of June 13, 1967 (P.L.31, No.21), known
10 as the "Public Welfare Code," is amended by adding a section to
11 read:
12 Section 475. Fees for Pharmacy Providers.--(a) For
13 prescribed medications, a licensed community pharmacy's
14 reimbursement shall be the cost of the drug plus at least a two
15 dollar and seventy-five cents ($2.75) fee of which twenty-five
16 cents (25¢) shall be designated for the specific reimbursement
17 of administrative costs incurred by the pharmacy in its
18 participation as a provider in the Pharmaceutical Services
19 Program under Medicaid or the pharmacy's usual and customary
1 charge to the general public plus twenty-five cents (25¢)
2 designated for the specific reimbursement of administrative
3 costs incurred by the pharmacy in its participation as a
4 provider in the Pharmaceutical Services Program under Medicaid,
5 whichever is lower.
6 (b) For prescribed medications, a licensed hospital or
7 skilled nursing facility or each immediate care facility
8 licensed pharmacy's reimbursement shall be the cost of the drug,
9 plus at least a two dollar and ten cents ($2.10) fee or that
10 pharmacy's usual and customary charge to the general public,
11 whichever is lower.
12 (c) The department shall annually review the cost of filling
13 prescriptions and the specific administrative costs incurred by
14 pharmacies in their participation as providers in the
15 Pharmaceutical Services Program under Medicaid.
16 (d) The department shall be empowered to effect
17 Pharmaceutical Services Program cost reductions sufficient to
18 offset the increased costs of the proposed pharmacy provider fee
19 increases through the limitation or elimination of reimbursement
20 for nonlegend (over the counter) drug preparations.
21 Section 2. This act shall take effect in 60 days.
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