TITLE 42
State Affairs and Government
CHAPTER 42-66.2.1
Rhode Island Best RX Prescription Drug Discount Program for the Uninsured
SECTION 42-66.2.1-6
§ 42-66.2.1-6 Administrative fees.
The departments of human services and elderly affairs shall ensure that
administrative fees imposed by means of subsection (a) or (b), are sufficient
to cover all expenses related to the management of the discount program, and
shall periodically revise any arrangements under this section in order to
maximize enrollment and to minimize the price paid by enrollees for
prescriptions.
(a) Per prescription administrative fees paid by the enrollee
shall be established as follows: (i) for the first twenty thousand (20,000)
prescriptions filled for program beneficiaries, two dollars ($2.00) per
prescription; (ii) for the next twenty thousand (20,000) prescriptions filled
for program beneficiaries, one dollar and fifty cents ($1.50) per prescription;
(iii) for the next twenty thousand (20,000) prescriptions filled for program
beneficiaries, one dollar ($1.00) per prescription; (iv) after the initial
sixty thousand (60,000) prescriptions are filled, the Rhode Island Best Rx
Program Advisory commission, established in § 42-66.2.1-6 below, shall
advise the departments regarding an appropriate per prescription administrative
fee, which shall not exceed one dollar ($1.00) per prescription.
(b) Any authority for the contractor to retain a share of
manufacturer rebates to defray administrative expenses shall be subject to a
quarterly review and revision based on reconciliation of aggregate rebates
received and administrative costs in excess of fees established under
subsection (a).
(c) The departments of human services and elderly affairs
shall seek to minimize the diversion of rebates to pay administrative costs,
and shall phase out all such use of rebates as soon as feasible, in order to
ensure that rebates are passed through to enrollees for whom a drug is
prescribed.
(d) Department of Human Services Powers. The
department of human services is authorized to promulgate rules and regulations
for the administration of this chapter and to further its purposes.
History of Section.
(P.L. 2007, ch. 499, § 3; P.L. 2007, ch. 516, § 3.)
