Common use of Additional Pharmacy Requirements of the Social Security Act Clause in Contracts

Additional Pharmacy Requirements of the Social Security Act. (A) Pursuant to Section 1903(m)(2)(A)(xiii) of the Social Security Act, an outpatient drug dispensed as a Covered Service to an Enrollee shall be subject to the same rebate requirements that the Department is subject to under Section 1927 of the Social Security Act and the Department shall collect such rebates from manufacturers and shall retain the rebate payments. (B) Pursuant to Section 1903(m)(2)(A)(xiii) of the Social Security Act, the Contractor shall report to the Department on a timely and periodic basis specified by the Secretary of the U.S. Department of Health and Human Services, information on the total number of units of each dosage from and strength and package size by National Drug Code of each covered outpatient drug dispensed to Enrollees for which the Contractor is responsible for coverage (other than outpatient drugs) and other data as deemed necessary by the Secretary of the U.S. Department of Health and Human Services.

Appears in 7 contracts

Samples: Accountable Care Organization (Aco) Contract, Accountable Care Organization (Aco) Contract, Integrated Care Contract

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