Massachusetts
This week, Gov. Charlie Baker (R) released his Fiscal Year (FY) 2020 budget request which includes a proposal for a 15 percent tax on opioid manufacturers on gross receipts from the sale of opioid products. This tax income would be used to pay for the $48 million proposed increase for treatment and other services. The total amount budgeted for these services will be $266 million. In addition, the Governor’s budget contains a provision which would give MassHealth the ability to negotiate directly with drug manufacturers over price and use a public rate-setting process for the high-cost prescription drugs similar to how rates for other Medicaid services are set.
For more information, please contact NACDS’ Mike Sargent at 207-272-6435.
New York
In April 2017, the Medicaid fee-for-service pharmacy reimbursement was adjusted to NADAC plus a $10.02 professional dispensing fee. This month, the Department of Health will start the process to retroactively adjust pharmacy claims that were adjudicated effective April 1, 2017 through February 21, 2018. The Department expects this repricing to take place over the course of several months and anticipates that it will be completed by the end of December 2019. Janet Elkind, pharmacy director for Medicaid, has stated that 77 percent of pharmacies will see an increase, six percent will see no change, and 16 percent see a reduction during this readjustment period.
New York…Gov. Andrew Cuomo (D) recently released his budget. Additionally, 30-day budget amendments will be released on Thursday, February 14. Among the various provisions are a series of PBM proposals and a prohibition on selling any tobacco products by pharmacies. The legislature will debate the budget and complete the budget process by Monday, April 1.
For more information, please contact NACDS’ Mike Sargent at 207-272-6435.
Virginia
This week, hearings were held for HB 2559, Board of Pharmacy legislation, that provides for certain exemptions from the requirement, effective Wednesday, July 1, 2020, that any prescription for a controlled substance that contains an opioid be issued as an electronic prescription.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Wyoming
SF 47 has passed the Senate with only two dissenting votes and has advanced to the House for consideration. The bill, among other things, requires e-prescribing of all controlled substances effective Friday, January 1, 2021.
For more information, contact NACDS’ Sandra Guckian at 703-774-4801.
District of Columbia
DC Health has established a policy statement to allow pharmacists to dispense naloxone without a prescription pursuant to a standing order. The policy will allow national pharmacy organizations (NPOs) to use their own training programs and standing orders to dispense naloxone to DC residents. The NPO standing order must be signed by a DC-licensed physician. The training program must meet the requirements outlined in the policy statement. Pharmacies that are not members of an NPO can dispense naloxone if the pharmacists have completed DC Health’s naloxone training program and have signed the DC Health standing order. The DC Health training program can be found on the DCRx website. If your pharmacy would like to complete the DC Health standing order, email supervisory pharmacist Dr Justin Ortique. For more information, please visit www.dchealth.dc.gov/bop.
Iowa
Several rule changes from the Iowa Board of Pharmacy will take effect on Wednesday, January 23, including Dispensing and electronic transfer of prescriptions by pharmacy technicians, Board membership and responsibilities, Wholesale distributor licenses, Limited distributor licenses, and Third-party logistics provider licenses. Additional information on these rules and others can be found on the Iowa legislature’s rule tracking website.
For more information, contact NACDS’ Joel Kurzman at 847-905-0555.
Louisiana
On January 7, 2019, the Dr. Barbara Gee, Secretary of the Department of Health, issued a standing order for naloxone.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Oklahoma
Effective January 7, 2019, the Oklahoma Health Care Authority implemented Phase 1 of a daily Morphine Milligram Equivalent (MME) limit for SoonerCare (Medicaid) pharmacy claims. It covers both short-acting and long-acting opioid formulations. Opioid MME daily totals exceeding 240 will require prior authorization (PA) with patient-specific, clinically significant reasoning why the member requires more than 240 MME per day.* This limit will gradually decrease over a six-month period, allowing providers to develop and implement tapering plans for appropriate patients. The end goal is a target of 100 MME or less.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Wisconsin
The State Senate recently approved four appointees to the Pharmacy Examining Board. Franklin “Rocky” LaDien was reappointed to a second term, ending in 2020. Philip J. Trapskin was reappointed to a second term, ending in 2021. Cathy J. Winters was reappointed to a second term, ending in 2021. John Weitekamp was appointed to his first term, ending in 2022.
For more information, contact NACDS’ Joel Kurzman at 847-905-0555.
Oregon
Joe Schnabel, PharmD, RPh, BCPS, a former Board of Pharmacy member, has been named as the new executive director of the Board of Pharmacy. Dr. Schnabel comes from Salem Hospital where he has worked for over 30 years, most recently serving as the director of pharmacy.
For more information, contact NACDS’ Sandra Guckian at 703-774-4801.
Maryland
Effective January 1, 2019, pharmacists are able to prescribe certain contraceptives to patients and be reimbursed under Medicaid and the state’s Children’s Health Insurance Program. The Board of Pharmacy has published online guidance on complying with the law and the required patient screening forms
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Kansas
Former State Sen. Vicki Schmidt (R), a pharmacist, will be sworn in Monday, January 14, as the state’s Commissioner of Insurance. The Commissioner-Elect is strong in her belief that more pharmacists should run for public office.
For more information, contact NACDS’ Sandra Guckian at 703-774-4801.
Arkansas
The Board of Pharmacy published a final rule amending Regulation 7 to revise requirements for transferring prescriptions between pharmacies and dispensing Schedule II controlled substances prescriptions. The rule allows individuals other than pharmacists to transfer prescriptions, allows electronic prescription transfers and requires transfer of controlled substances to follow federal standards. The rule also clarifies that licensees may not dispense a quantity of a Schedule II controlled substance that exceeds the prescriber’s authority to prescribe. In addition, the rule clarifies language regarding partial filling of Schedule II controlled substance prescriptions. The rule took effect on January 1, 2019.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Georgia
NACDS submitted comments to the Board of Pharmacy on proposed rules that would implement a 2012 law allowing central prescription filling. NACDS commended the Board for pursuing this rulemaking initiative and asked the Board to clarify certain administrative requirements to ensure that the rule is workable for pharmacies.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
Nebraska
The Nebraska Pharmacists Association (NPA) is seeking member pharmacists to serve on its 2019 Legislative Committee, Education Committee and Third-Party Advisory Committee. To volunteer, please contact NPA Chief Executive Officer Joni Cover by Friday, December 14.
For more information, contact NACDS’ Joel Kurzman at 847-905-0555.
New York
NACDS and the Chain Pharmacy Association of New York State met with the New York State (NYS) Bureau of Immunizations to discuss pharmacy participation in the federally-funded Vaccines for Children program. Also, the state is developing a Memorandum of Understand (MOU) for chain pharmacies so that the state has a method of communicating with pharmacies in the case of a pandemic. Once that MOU is complete, NACDS will distribute it to members operating in the state.
Also in New York…NACDS and the Chain Pharmacy Association of New York State met with the NYS Bureau of Narcotic Enforcement (BNE) to discuss the opioid tax assessment program and the drug disposal program. The opioid tax assessment program enacted earlier this year will result in additional revenue to the state totaling $100 million annually. The invoices to the impacted drug manufacturers and wholesale distributors have been sent. In addition, the newly enacted statewide drug disposal legislation has a series of 2019 target dates. We have asked BNE to hold a stakeholder meeting to ensure that all interested parties continue to participate in the development of the program.
For more information, please contact NACDS’ Mike Sargent at 207-272-6435.
Ohio
NACDS submitted comments to the Board of Pharmacy on a proposed rule modifying the requirements for reporting to the state’s prescription drug monitoring program (PDMP). Specifically, NACDS asked the Board to clarify that pharmacies are required to submit a patient’s phone number as the patient identifier where it is available. Additionally, NACDS asked the Board to change a requirement that pharmacies notify the Board of PDMP submission errors to requiring such a notification only where the submission error cannot be corrected within seven days.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.
Michigan
The Michigan Pharmacists Association announced the results of its Executive Board elections. Meijer Pharmacy Compliance Director Mollien was voted president-elect. Charlie also serves on the state’s Board of Pharmacy.
For more information, contact NACDS’ Joel Kurzman at 847-905-0555.
New York
NACDS participated in the Board of Pharmacy meeting. A significant portion of the meeting focused on electronic prescribing and best practices. The next meeting of the Board is scheduled for Tuesday, March 12, 2019 in Albany.
For more information, please contact NACDS’ Mike Sargent at 207-272-6435.
Texas
NACDS submitted comments to the Health and Human Services Commission in support of a draft policy to limit opioid prescriptions to a maximum of seven days for opioid naïve clients across all of Medicaid, including traditional fee-for-service and managed care.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Michigan
The Michigan Pharmacists Association announced the results of its Executive Board elections. Meijer Pharmacy Compliance Director Mollien was voted president-elect. Charlie also serves on the state’s Board of Pharmacy.
For more information, contact NACDS’ Joel Kurzman at 847-905-0555.
New York
NACDS participated in the Board of Pharmacy meeting. A significant portion of the meeting focused on electronic prescribing and best practices. The next meeting of the Board is scheduled for Tuesday, March 12, 2019 in Albany.
For more information, please contact NACDS’ Mike Sargent at 207-272-6435.
Texas
NACDS submitted comments to the Health and Human Services Commission in support of a draft policy to limit opioid prescriptions to a maximum of seven days for opioid naïve clients across all of Medicaid, including traditional fee-for-service and managed care.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
California
Effective October 28, the Department of Health Care Services (DHCS) lifted its moratorium on the enrollment of pharmacy providers for the Medi-Cal fee-for-service program in Los Angeles County. For more information, contact the Provider Enrollment Message Center at 916-323-1945 or submit your question via e-mail or NACDS’ Mary Staples at 817-442-1155.
Also in California…In mid-November, DHCS will publish an article in the Medi-Cal Pharmacy Updates bulletin informing providers seeking the higher of the two professional dispensing fees on drug claims for Fiscal Year 2019-20 that the next attestation will start in January 2019 for calendar year 2018 claim volume. If your company would like to centralize the coordination of attestations, please contact Trudi Balestreri.
For more information, contact NACDS’ Mary Staples at 817-442-1155.
Pennsylvania
The Wolf Administration’s Opioid Command Center sent a letter to pharmacies regarding its Stop Overdoses in PA: Get Help Now outreach campaign that will take place the week of December 10. Specifically, they want pharmacies to be aware they may see an increase in the number of persons seeking naloxone and request that pharmacies adjust stock accordingly. Additionally, they ask pharmacies to educate pharmacists on the Department of Health’s standing order.
For more information, contact NACDS’ Jill McCormack at 717-592-8977.