Oregon Administrative Rules
Chapter 431 - OREGON HEALTH AUTHORITY, OREGON PRESCRIPTION DRUG PROGRAM
Division 121 - OREGON PRESCRIPTION DRUG PROGRAM
Section 431-121-2020 - Program Price

Universal Citation: OR Admin Rules 431-121-2020

Current through Register Vol. 63, No. 9, September 1, 2024

(1) The price for a prescription drug a pharmacy provider may charge a member under the OPDP is the lesser of the following on the date of the transaction:

(a) The program price, or

(b) The pharmacy provider's usual and customary price, including program cost and dispensing fee.

(2) The designated entity shall transmit the price of the prescription drugs to the pharmacy providers electronically.

(3) The OPDP is limited to prescription drugs prescribed in the name of and for the use by the member, except as otherwise provided in section (7) of this rule.

(4) Prescription drug benefit access shall be available on member identification cards.

(5) The OPDP does not include prescriptions for over-the-counter drugs.

(6) The Administrator, or designated entity, may establish different program prices for CAP providers to maintain statewide access to the OPDP.

(7) Unique pricing arrangements may be agreed upon between pharmacy providers and designated entity to accommodate group purchasing or 340B pricing for qualified entities.

Statutory/Other Authority: ORS 414.320

Statutes/Other Implemented: ORS 414.312 - 414.320

Disclaimer: These regulations may not be the most recent version. Oregon may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.