173.831 Rule covering professional fees.

As used in this section, “medicaid dispensing fee” means the dispensing fee established under section 5111.071 of the Revised Code for the medicaid program.

In adopting a rule under division (G) of section 173.83 of the Revised Code increasing the maximum amount of the professional fee participating terminal distributors may charge Ohio’s best Rx program participants pursuant to an agreement entered into under section 173.79 of the Revised Code, the department of aging shall review the amount of the professional fee once a year or, at the department’s discretion, at more frequent intervals. The department shall not increase the professional fee to an amount exceeding the medicaid dispensing fee.

A participating terminal distributor may charge a maximum three dollar professional fee regardless of whether the medicaid dispensing fee for that drug is less than that amount. The department, however, may not adopt a rule increasing the maximum professional fee for that drug until the medicaid dispensing fee for that drug exceeds that amount.

Effective Date: 07-01-2007