West Virginia Code § 9-5-15

Medicaid program; preferred drug list and drug utilization review
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The Legislature finds that it is a public necessity that trade secrets, rebate amounts,
percentage of rebate, manufacturer's pricing and supplemental rebates that are contained in
records, as well as any meetings at which this information is negotiated or discussed need
confidentiality to insure the most significant rebates available for the state. Information
pertaining to similar agreements with the federal government and negotiateed by
pharmaceutical manufacturers is confidential pursuant to 42 U.S.C. 1396r-8. A rebate as a
percentage of average manufacture price is confidential under federal rlaw and the federal
rebate could be made known if not protected by state law. Because of the protection
afforded by federal law, if this information is not protected by state law, manufacturers will
not be willing to offer a rebate in West Virginia. Further, the Legislature finds that the
number and value of supplemental rebates obtained by the dtepartment will increase, to the
benefit of Medicaid recipients, if information related to the supplemental rebates is
protected in the records of the department and in meetings in which this information is
disclosed because manufacturers will be assured they will not to be placed at a competitive
disadvantage by exposure of this information.
The secretary of the Department of Human Services has the authority to develop a preferred
drug list, in accordance with federal law, which shall consist of federally approved drugs.
The department, through administragtion of the Medicaid program, may reimburse, where
applicable and in accordance with federal law, entities providing and dispensing prescription
drugs from the preferred druge list.
The secretary is authoriLzed to negotiate and enter into agreements with pharmaceutical
manufacturers for supplemental rebates for Medicaid reimbursable drugs.
The provisions of article three, chapter five-a of this code shall not apply to any contract or
contracts entered into under this section.
TraWde secrets, rebate amounts, percentage of rebate, manufacturer's pricing and
supplemental rebates which are contained in the department's records and those of its
agents with respect to supplemental rebate negotiations and which are prepared pursuant to
a supplemental rebate agreement are confidential and exempt from all of article one,
chapter twenty-nine-b of this code.
Those portions of any meetings of the committee at which trade secrets, rebate amounts,
percentage of rebate, manufacturer's pricing and supplemental rebates are disclosed for
discussion or negotiation of a supplemental rebate agreement are exempt from all of article
nine-a, chapter six of this code.
The secretary will monitor and evaluate the effects of this provision on Medicaid recipients,
the Medicaid program, physicians and pharmacies.
The commissioner shall implement a drug utilization review program to assure that
prescribing and dispensing of drug products result in the most rational cost-effective
medication therapy for Medicaid patients.
Any moneys received in supplemental rebates will be deposited in the medical services fund
established in §9-4-2 of this code.

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