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Section 5167.241 - State pharmacy benefit manager contract; payment arrangements.

Ohio Rev Code § 5167.241 (2019) (N/A)
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Medicaid managed care organizations shall use the state pharmacy benefit manager selected under section 5167.24 of the Revised Code pursuant to the terms of the master contract entered into under that section.

All payment arrangements between the department of medicaid, medicaid managed care organizations, and the state pharmacy benefit manager shall comply with state and federal statutes, regulations adopted by the centers for medicare and medicaid services, and any other agreement between the department and the centers for medicare and medicaid services. The director may change a payment arrangement in order to comply with state and federal statutes, regulations adopted by the centers for medicare and medicaid services, or any other agreement between the department and the centers for medicare and medicaid services.

Added by 133rd General Assembly File No. TBD, HB 166, §101.01, eff. 10/17/2019 (Vetoed provisions).

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Section 5167.24 - Third-party administrator as single pharmacy benefit manager.
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Section 5167.243 - Quarterly reports.