California Business and Professions Code

§ 4425

BPC § 4425 Effective Jan 1, 2011Div. 2 · Ch. 9 · Art. 24

Statute text

(a)As a condition for the participation of a pharmacy in the Medi-Cal program pursuant to Chapter 7 (commencing with Section 14000) of Division 9 of the Welfare and Institutions Code, the pharmacy, upon presentation of a valid prescription for the patient and the patient’s Medicare card, shall charge Medicare beneficiaries a price that does not exceed the Medi-Cal reimbursement rate for prescription medicines, and an amount, as set by the State Department of Health Care Services to cover electronic transmission charges. However, Medicare beneficiaries shall not be allowed to use the Medi-Cal reimbursement rate for over-the-counter medications or compounded prescriptions.

(b)The State Department of Health Care Services shall provide a mechanism to calculate and transmit the price to the pharmacy, but shall not apply the Medi-Cal drug utilization review process for purposes of this section.

(c)The State Department of Health Care Services shall monitor pharmacy participation with the requirements of subdivision (a).

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Legislative history

Amended by Stats. 2010, Ch. 653, Sec. 34. (SB 1489) Effective January 1, 2011.