Prescription drug cost controls; purchasing agreements.
(a)#
In this section: 1. “Brand name” has the meaning given in s. 450.12 (1) (a). 2. “Generic name” has the meaning given in s. 450.12 (1) (b). 3. “Prescription drug” has the meaning given in s. 450.01 (20).
(a)(1)#
“Brand name” has the meaning given in s. 450.12 (1) (a).
(a)(2)#
“Generic name” has the meaning given in s. 450.12 (1) (b).
(a)(3)#
“Prescription drug” has the meaning given in s. 450.01 (20).
(b)#
The department may enter into a multi-state purchasing agreement with another state or a purchasing agreement with a purchaser of prescription drugs if the other state or purchaser agrees to participate in one or more of the activities specified in par. (c) 1. to 4.
(c)#
The department may design and implement a program to reduce the cost of prescription drugs and to maintain high quality in prescription drug therapies, which shall include all of the following: 1. A list of the prescription drugs that are included as a benefit under ss. 49.46 (2) (b) 6. h. and 49.471 (11) (a) that identifies preferred choices within therapeutic classes and includes prescription drugs that bear only generic names. 2. Establishing supplemental rebates under agreements with prescription drug manufacturers for prescription drugs provided to recipients under Medical Assistance and Badger Care and to eligible persons under s. 49.688 and, if it is possible to implement the program without adversely affecting supplemental rebates for Medical Assistance, Badger Care, and prescription drug assistance under s. 49.688, to beneficiaries of participants under par. (b). 3. Utilization management and fraud and abuse controls. 4. Any other activity to reduce the cost of or expenditures for prescription drugs and maintain high quality in prescription drug therapies.
(c)(1)#
A list of the prescription drugs that are included as a benefit under ss. 49.46 (2) (b) 6. h. and 49.471 (11) (a) that identifies preferred choices within therapeutic classes and includes prescription drugs that bear only generic names.
(c)(2)#
Establishing supplemental rebates under agreements with prescription drug manufacturers for prescription drugs provided to recipients under Medical Assistance and Badger Care and to eligible persons under s. 49.688 and, if it is possible to implement the program without adversely affecting supplemental rebates for Medical Assistance, Badger Care, and prescription drug assistance under s. 49.688, to beneficiaries of participants under par. (b).
(d)#
The department may enter into a contract with an entity to perform any of the duties and exercise any of the powers of the department under this subsection.