Ohio § 5167.243 Quarterly reports

Ohio Statutes

§ 5167.243 — Quarterly reports

Ohio § 5167.243

Title 51Public Welfare

Ch. 5167Medicaid Managed Care

This text of Ohio § 5167.243 (Quarterly reports) is published on Counsel Stack Legal Research, covering Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Ohio Rev. Code Ann. § 5167.243 (2026).

Text

(A)The state pharmacy benefit manager shall provide to the medicaid director a written quarterly report containing the following information from the immediately preceding quarter:

(1)The prices that the state pharmacy benefit manager negotiated for prescribed drugs under the care management system. The price must include any rebates the state pharmacy benefit manager received from the drug manufacturer;

(2)The prices the state pharmacy benefit manager paid to pharmacies for prescribed drugs;

(3)Any rebate amounts the state pharmacy benefit manager passed on to individual pharmacies;

(4)The percentage of savings in drug prices that are passed on to participants in the care management system;

(5)The information described in division (C) of section5167.24of the Revised Code;

(6)

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(A) The state pharmacy benefit manager shall provide to the medicaid director a written quarterly report containing the following information from the immediately preceding quarter:

(1) The prices that the state pharmacy benefit manager negotiated for prescribed drugs under the care management system. The price must include any rebates the state pharmacy benefit manager received from the drug manufacturer;

(2) The prices the state pharmacy benefit manager paid to pharmacies for prescribed drugs;

(3) Any rebate amounts the state pharmacy benefit manager passed on to individual pharmacies;

(4) The percentage of savings in drug prices that are passed on to participants in the care management system;

(5) The information described in division (C) of section5167.24of the Revised Code;

(6) Any other information required by the director.

(B) The director may ask the state pharmacy benefit manager to provide additional information as necessary and shall collect other clinical data from the state pharmacy benefit manager as the director sees fit.

(C) At the time of contract execution, renewal, or modification, the department shall modify the reporting requirements under its medicaid managed care organization contracts as necessary to meet the requirements of this section.