Ohio Code 5167.122 – Disclosure of sources of payment
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(A) The state pharmacy benefit manager shall, on request from the department of medicaid, disclose to the department all sources of payment it receives for prescribed drugs, including any financial benefits such as drug rebates, discounts, credits, clawbacks, fees, grants, chargebacks, reimbursements, or other payments related to services provided for the medicaid managed care organization.
Terms Used In Ohio Code 5167.122
- Care management system: means the system established under section 5167. See Ohio Code 5167.01
- Medicaid managed care organization: means a managed care organization under contract with the department of medicaid pursuant to section 5167. See Ohio Code 5167.01
- State pharmacy benefit manager: means the pharmacy benefit manager selected by and under contract with the medicaid director under section 5167. See Ohio Code 5167.01
(B) Each medicaid managed care organization shall disclose to the department of medicaid in the format specified by the department the organization’s administrative costs associated with providing pharmacy services under the care management system.