Medicaid Drug Rebate Agreement means the agreement in place between the Pharmaceutical Manufacturer and the U.S. Secretary of Health and Human Services, pursuant to Section 4401 of the Omnibus Budget Reconciliation Act of 1990 (Public Law 101-508). CMS is the agency within HHS having the delegated authority to operate the Medicaid Program.
Medicaid Drug Rebate Agreement means the agreement in place between (name of manufacturer) and the Secretary of Health and Human Services, pursuant to Section 4401 of the Omnibus Budget Reconciliation Act of 1990 (Public Law 101-508). CMS is the agency within HHS having the delegated authority to operate the Medicaid program. 1.11 "Medicaid Recipient" shall mean any person enrolled inthe State Medicaid Program and eligible to receive prescription drug benefits under a fee for service arrangement. 1.12 "Net Cost" shallmean theprescription drug ingredient reimbursement calculated as (AWP -_%) minus the sum of all rebates paid by (name of manufacturer) to the State for the Covered Product for the calendar quarter. Inthe event of any change to thecalculation used by the Stateto determine drug ingredient reimbursement paid by the Stateto Pharmacy providers, theapplicableterms of this Agreement shall be amended toreflect such change. 1.13 "Pharmacy" shall mean a facility licensed to dispense legend drugs, and enrolled as a State Medicaidprovider.1.14 "Preferred Drug List" shall mean a document listing various pharmaceutical products covered by the State Medicaid Program for the purpose of guiding the prescribing, dispensing and acquisition of pharmaceutical products. The Preferred Drug List shall not prevent beneficiaries from obtaining access to medically necessary drugs of manufacturers that participate in the OBRA 90 Medicaid Dug Rebate Program. 1.15 "State Medicaid Program" shall mean the joint federal and state medical assistance program as established and defined pursuant to Title 42 U.S.C. 1396, et seq., that provides reimbursement for or coverage of prescription drug products to Medicaid Recipients. 1.16· "State Supplemental Rebate" shall mean an amount paid on a calendar quarter basis by (name of manufacturer) to State for utilization under State's fee for service Medicaid program pursuant to this Agreement which renders at the option of the State, either (a) a Net Cost of Covered Products that is less than or equal to the cost of the competitive product for each quarter covered by the terms of this contract; or (b) a Net Cost that is comparatively low or that is the lowest Net Cost to an equivalent therapeutic dose of Covered Product to become a preferred drug in the drug class. 1.17 "Unit" means a single CMS unit of Covered Product. 1.18 "USC" means the United States Code. All references to this agreement to USC chapters or sections shall include any successor, amended, or replacem...
Examples of Medicaid Drug Rebate Agreement in a sentence
It is the intent of this Agreement that the Department will receive a Supplemental Rebate for Medicaid population, in addition to rebates received under the Medicaid Drug Rebate Agreement, pursuant to Section 1927 of the Social Security Act (42 USC 1396r-8), for the Manufacturer’s Covered Product(s) quarterly utilization in the Maine Medicaid Program.