Common use of Pharmacy Rebates Clause in Contracts

Pharmacy Rebates. The State may propose a methodology for assigning a portion of pharmacy rebates to the Demonstration, in a way that reasonably reflects the actual rebate-eligible pharmacy utilization of the Demonstration population, and which reasonably identifies pharmacy rebate amounts with DYs. Use of the methodology is subject to the approval in advance by the CMS Regional Office, and changes to the methodology must also be approved in advance by the Regional Office. The portion of pharmacy rebates assigned to the Demonstration using the approved methodology will be reported on the appropriate Form CMS-64.9 Waiver for the Demonstration, and not on any other CMS-64.9 form (to avoid double-counting). Each rebate amount must be distributed as State and Federal revenue consistent with the Federal matching rates under which the claim was paid.

Appears in 6 contracts

Samples: Business Associate Agreement, Business Associate Agreement (Wellcare Health Plans, Inc.), Business Associate Agreement (Wellcare Health Plans, Inc.)

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Pharmacy Rebates. The State state may propose a methodology for assigning a portion of pharmacy rebates to the Demonstrationdemonstration, in a way that reasonably reflects the actual rebate-eligible pharmacy utilization of the Demonstration demonstration population, and which reasonably identifies pharmacy rebate amounts with DYs. Use of the methodology is subject to the approval in advance by the CMS Regional Office, and changes to the methodology must also be approved in advance by the Regional Office. The portion of pharmacy rebates assigned to the Demonstration demonstration using the approved methodology will be reported on the appropriate Form Forms CMS-64.9 Waiver for the Demonstrationdemonstration, and not on any other CMS-64.9 form (to avoid double-counting). Each rebate amount must be distributed as State state and Federal federal revenue consistent with the Federal federal matching rates under which the claim was paid.

Appears in 3 contracts

Samples: www.medicaid.gov, www.in.gov, www.in.gov

Pharmacy Rebates. The State may propose a methodology for assigning a portion of pharmacy rebates to the Demonstration, in a way that reasonably reflects the actual rebate-eligible pharmacy utilization of the Demonstration population, and which reasonably identifies pharmacy rebate amounts with DYs. Use of the methodology is subject to the approval in advance by the CMS Regional Office, and changes to the methodology must also be approved in advance by the Regional Office. The portion of pharmacy rebates assigned to the Demonstration using the approved methodology will be reported on the appropriate Form Forms CMS-64.9 Waiver for the Demonstration, Demonstration and not on any other CMS-64.9 CMS 64.9 form (to avoid double-double –counting). Each rebate amount must be distributed as State and Federal revenue consistent with the Federal matching rates under which the claim was paid.

Appears in 2 contracts

Samples: www.medicaid.gov, www.michigan.gov

Pharmacy Rebates. The State may propose a methodology for assigning a portion of pharmacy rebates to the Demonstration, in a way that reasonably reflects the actual rebate-eligible pharmacy utilization of the Demonstration population, and which reasonably identifies pharmacy rebate amounts with DYs. Use of the methodology is subject to the approval in advance by the CMS Regional Office, and changes to the methodology must also be approved in advance by the Regional Office. The portion of pharmacy rebates assigned to the Demonstration using the approved methodology will be reported on the appropriate Form Forms CMS-64.9 Waiver for the Demonstration, and not on any other CMS-64.9 form (to avoid double-counting). Each rebate amount must be distributed as State and Federal revenue consistent with the Federal matching rates under which the claim was paid.

Appears in 2 contracts

Samples: www.medicaid.gov, www.medicaid.gov

Pharmacy Rebates. The State state may propose a methodology for assigning a portion of pharmacy rebates to the Demonstration, demonstration in a way that reasonably reflects the actual rebate-eligible pharmacy utilization of the Demonstration demonstration population, and which reasonably identifies pharmacy rebate amounts with DYs. Use of the methodology is subject to the approval in advance by the CMS Regional Office, and changes to the methodology must also be approved in advance by the Regional Office. The portion of pharmacy rebates assigned to the Demonstration demonstration using the approved methodology will be reported on the appropriate Form Forms CMS-64.9 Waiver for the Demonstration, demonstration and not on any other CMS-64.9 form (to avoid double-double counting). Each rebate amount must be distributed as State state and Federal revenue consistent with the Federal federal matching rates under which the claim was paid.

Appears in 2 contracts

Samples: static-lobbytools.s3.amazonaws.com, ahca.myflorida.com

Pharmacy Rebates. The State may propose a methodology for assigning a portion of pharmacy rebates to the Demonstration, in a way that reasonably reflects the actual rebate-eligible pharmacy utilization of the Demonstration population, and which reasonably identifies pharmacy rebate amounts with DYs. Use of the methodology is subject to the approval in advance by the CMS Regional Office, and changes to the methodology must also be approved in advance by the Regional Office. The portion of pharmacy rebates assigned to the Demonstration using the approved methodology will be reported on the appropriate Form Forms CMS-64.9 Waiver for the Demonstration, and not on any other CMS-64.9 form (to avoid double-counting). Each rebate amount must be distributed as State and Federal revenue consistent with the Federal matching rates under which the claim was paid.. Deleted: inSTC

Appears in 1 contract

Samples: www.medicaid.gov

Pharmacy Rebates. The State state may propose a methodology for assigning a portion of pharmacy rebates to the Demonstrationdemonstration, in a way that reasonably reflects the actual rebate-eligible pharmacy utilization of the Demonstration demonstration population, and which reasonably identifies pharmacy rebate amounts with DYs. Use of the methodology is subject to the approval in advance by the CMS Regional Office, and changes to the methodology must also be approved in advance by the Regional Office. The portion of pharmacy rebates assigned to the Demonstration demonstration using the approved methodology will be reported on the appropriate Form Forms CMS-64.9 Waiver for the Demonstrationdemonstration, and not on any other CMS-64.9 form (to avoid double-double counting). Each rebate amount must be distributed as State state and Federal federal revenue consistent with the Federal federal matching rates under which the claim was paid. State’s Response: The State follows the above described pharmacy rebates process.

Appears in 1 contract

Samples: humanservices.arkansas.gov

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Pharmacy Rebates. The State may propose a methodology for assigning a portion of pharmacy rebates to the Demonstration, in a way that reasonably reflects the actual rebate-rebate- eligible pharmacy utilization of the Demonstration population, and which reasonably identifies pharmacy rebate amounts with DYs. Use of the methodology is subject to the approval in advance by the CMS Regional Office, and changes to the methodology must also be approved in advance by the Regional Office. The portion of pharmacy rebates assigned to the Demonstration using the approved methodology will be reported on the appropriate Form Forms CMS-64.9 Waiver for the Demonstration, and not on any other CMS-64.9 form (to avoid double-counting). Each rebate amount must be distributed as State and Federal revenue consistent with the Federal matching rates under which the claim was paid.. Deleted: inSTC

Appears in 1 contract

Samples: www.medicaid.gov

Pharmacy Rebates. The State may propose a methodology for assigning a portion of pharmacy rebates to the Demonstration, in a way that reasonably reflects the actual rebate-rebate- eligible pharmacy utilization of the Demonstration population, and which reasonably identifies pharmacy rebate amounts with DYs. Use of the methodology is subject to the approval in advance by the CMS Regional Office, and changes to the methodology must also be approved in advance by the Regional Office. The portion of pharmacy rebates assigned to the Demonstration using the approved methodology will be reported on the appropriate Form Forms CMS-64.9 Waiver for the Demonstration, and not on any other CMS-64.9 form (to avoid double-counting). Each rebate amount must be distributed as State and Federal revenue consistent with the Federal matching rates under which the claim was paid.

Appears in 1 contract

Samples: www.medicaid.gov

Pharmacy Rebates. The State may propose a methodology for assigning a portion of pharmacy rebates to the Demonstration, in a way that reasonably reflects the actual rebate-eligible pharmacy utilization of the Demonstration population, and which reasonably identifies pharmacy rebate amounts with DYs. Use of the methodology is subject to the approval in advance by the CMS Regional Office, and changes to the methodology must also be approved in advance by the Regional Office. The portion of pharmacy rebates assigned to the Demonstration using the approved methodology will be reported on the appropriate Form Forms CMS-64.9 Waiver for the Demonstration, and not on any other CMS-64.9 form (to avoid double-counting). Each rebate amount must be distributed as State and Federal revenue consistent with the Federal matching rates under which the claim was paid.. Deleted: inSTC Deleted: 9Waiver

Appears in 1 contract

Samples: www.medicaid.gov

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