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until 30 days following the manufacturer's receipt | | of utilization data supplied by the department, | | including the number of dosage units reimbursed to | | providers of prescription drugs during the period | | for which payments are due. |
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| | | (b)__Beginning October 1, 1998, the department | | shall seek to achieve an aggregate rebate amount | | from all rebate agreements that is 6 percentage | | points higher than that required by subdivision | | (a), provided such rebates result in a net | | increase in the rebate revenue available to the | | elderly low-cost drug program. |
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| | | (2)__Upon receipt of data from the department, the | | manufacturer shall calculate the quarterly payment. |
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| | | (a)__If a discrepancy is discovered, the | | department may, at its expense, hire a mutually | | agreed-upon independent auditor to verify the | | manufacturer's calculation. |
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| | | (b)__If a discrepancy is still found, the | | manufacturer shall justify its calculation or make | | payment to the department for any additional | | amount due. |
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| | | (c) The manufacturer may, at its expense, hire a | | mutually agreed-upon independent auditor to verify | | the accuracy of the utilization data provided by | | the department.__If a discrepancy is discovered, | | the department shall justify its data or refund | | any excess payment to the manufacturer. |
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| | | (d) If the dispute over the rebate amount is not | | resolved, a request for a hearing with supporting | | documentation must be submitted to the | | department's office of administrative hearings.__ | | Failure to resolve the dispute may be cause for | | terminating the drug rebate agreement and denying | | payment to the manufacturer for any drugs. |
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| | | (3)__A prescription drug of a manufacturer that does | | not enter into an agreement pursuant to this paragraph | | is reimbursable only if the department determines the | | prescription drug is essential. |
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| | | (4)__All prescription drugs of a manufacturer that enters into an | | agreement pursuant to this paragraph that appear on the list of | | approved drugs under the |
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