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Pharmacy Industry Updates: May

View the video recap below:

 

 

PDMP Roundup

PDMP Reporting

  • New Hampshire — Moving to ASAP 4.2A on 05-01-2019 (Appriss)
    • Data Submission Guide available as of 04-18-2019
  • Maryland – Changing from Appriss to NIC’s RxGov as of 06-01-2019
    • Reporting within 24 hours of dispensing.
    • Dispensing Guide is available.
  • California – Require Serial Number to be reported
    • Delayed until no later than 01-01-2020.
    • Allows dispensing of prescriptions written on old pads until 01-01-2021
    • DOJ/BOP are still discussing the length/format of the serial number and type of barcode.
    • It does not address the PDMP reporting aspect.
  • Florida – ASAP V4.2 Accepted now, but required as of 12-19-2019

 

Potential PDMP Changes 

  • Utah – DAR File No. 43353 Proposed Rule published 11-15-2018,  Finalized 12-27-2018.  Added new fields.  No updated information from Utah PDMP.
  • Nebraska LB 556– Pending legislation
    • Requires ASAP V4.2A with additional fields Including Gender, ID, Sold date.
    • Change from Dr. First to a new vendor
    • Aug/Sept timeframe
    • Notice will be sent once contracts are finalized.
  • Oregon HB 3315 –Introduced March 4, 2019, Adds to the reporting
    • method of payment used to purchase the prescription drug
    • diagnosis or other information related to a prescription
    • Whether the patient is required to obtain prescriptions from a designated practitioner or prescription drugs from a designated pharmacy

 

Legislative/Regulatory Reminders for April/May  2019

  • Rhode Island (SB2529 -2018)– Require PBMs to allow and reimburse for the  full amount of contraceptives to be dispensed up to 365 days.  05-01-2019
  • Utah – (HB 370 – 2019) A pharmacy benefit manager
    • (a) may not require a pharmacy to collect the amount of a customer’s cost share for a prescription drug or device solely from the customer or the customer’s agent;
    • (b) shall permit a pharmacy to cover all or part of the amount of a customer’s cost share for a prescription drug or device; and
    • (c) may not reduce or deny a claim for a prescription drug or device more than 90 days after the day on which the claim is submitted to the pharmacy benefit manager

 

New Legislative/Regulatory Highlights  (More details below in Roundup)

  • Colorado – EPCS Required by 01-01-2021
  • Utah – Make Tramadol a Schedule IV
  • Montana – Any performance based fee may only be applied to the dispensing fee and not cost of goods.
  • Virginia – New Audit Rules
  • North Dakota – Added Cannabidiol Drugs and Gabapentin to Schedule V

 

Get Involved/Get Informed Spotlight

Medicare Part D Provider Preclusion List – Any impact?

NCPDP Annual Conference and Workgroup May 5-8 in Scottsdale.   

Controlled Substance Prescriptions

  • Watch your state for changes for pharmacist responsibility
  • CVS penalized $535,000 for filling invalid prescriptions

Oregon SB 698

Current Version requires  by  01-01-2021 that labels and information be available in  at least the 14 languages listed in the bill in communities as determined by the Board of Pharmacy.

 

SCRIPT V2017071 Implementation – Brief Overview

  • New Messages and functionality
  • What to expect
  • Timelines

 

PBM Update

 

Federal Rules Updates

 

 

 

 

Contact us to ask questions or get more information about these updates.

Bio and photo of Leann Lewis

Disclaimer:

The organizer of this call is not an attorney, and the presentation on this call does not constitute legal advice.  It contains only the opinions and observations of the organizer and its participants.  Any use of information contained in this presentation is at the user’s own risk. The organizer will not be available for depositions or testimony in case of litigation.

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