173.741 Designation of formulas for establishing base price.

Annually, the department of aging shall designate one or more formulas for use in establishing under section 173.74 of the Revised Code the Ohio’s best Rx program’s base price for drugs dispensed by a terminal distributor of dangerous drugs that has entered into an agreement under section 173.79 of the Revised Code. Each formula shall include a drug pricing discount component that is expressed as a percentage discount. The formula used for generic drugs may include the maximum allowable cost limits that apply to generic drugs under the medicaid program.

In designating the one or more formulas, the department shall use the best information on drug pricing that is available to the department, including information obtained through the drug pricing verification services provided under section 173.742 of the Revised Code by the Ohio’s best Rx program’s consulting pharmacy benefit manager selected under section 173.731 of the Revised Code. Based on the available information, the department shall modify the one or more formulas as it considers appropriate to maximize the benefits provided to Ohio’s best Rx program participants.

Effective Date: 07-01-2007