The Board of Pharmacy is disseminating information that pharmacies are eligible to receive free drug take-back bins and paid disposal service through a federally funded program intended to combat the opioid epidemic and reduce the misuse of medications. The California Statewide Drug Take-Back Program is expected to expand options for consumers to safely dispose of unused, unwanted or expired medications – including controlled substances – for humans and pets. The program is funded by the state Department of Health Care Services (DHCS) and administered by the California Product Stewardship Council (CPSC). California licensed pharmacies, hospitals and other agencies approved by the U.S. Drug Enforcement Administration can apply to receive free collection bins. The program will pay for the cost of the bins, disposal service through 2020, technical assistance and promotion of bin locations. More information, including a program FAQ sheet and instructions on how to apply for a drug take-back bin, is available on the California Statewide Drug Take-Back Program website.

Also in California… In advance of the July 24 Board of Pharmacy meeting, NACDS and the California Retailers Association sent a letter expressing our concerns regarding the proposed regulations related to the “no pharmacist left alone” bill passed last session. (B&P Section 4113.5 /SB 1442, Statutes of 2018).

Also in California… Gov. Gavin Newsom (D) continues to move forward with the implementation of an Executive Order to take on high prescription drug costs. The DHCS announced this week that they will soon begin accepting proposals to implement a significant component of the state’s prescription drug purchasing plan. Under the proposal, DHCS will be transitioning Medi-Cal pharmacy services from its contracted managed care plans to its directly negotiated fee-for-service system, thereby purchasing on behalf of 13 million enrollees, as opposed to the current 2 million.

For more information, contact NACDS’ Mary Staples at 817-442-1155.

NACDS and the California Retailers Association (CRA) submitted a letter urging Gov. Gavin Newsom (D) to sign AB 1803, clean-up legislation delaying the implementation of AB 315 (Chapter #905, 2018) and AB 2863 (Chapter #770, 2018) until Wednesday, January 1, 2020. Subsequently, the Gov. Newsom signed the bill into law on July 12, effective immediately. This law will provide pharmacies and health plans the time they need to set up their contracts and computer systems to allow for the cash price information to be shared effectively and efficiently when a patient chooses to pay retail price for the drug because it is cheaper. The patient can then have that amount deducted from their health plan’s required deductible.

Also in California… In response to CalRecycle’s draft regulatory text implementing SB 212 (Chapter #1004, 2018), the drug take-back and sharps law, NACDS and CRA submitted a letter detailing our concerns with the draft language. We will continue to monitor and participate in the rulemaking process.

Also in California… In response to the lawsuit filed last month by the California Pharmacists Association (CPhA) through the Californians for Access to Life-Saving Medicine, the Department of Health Care Services agreed to temporarily stop the Medi-Cal retroactive recoupments on June 14. The agreement came as the attorneys for CPhA and Deputy Attorney General (who represents the State) negotiated over the court hearing date for the judge to consider the motion for a preliminary injunction. With this agreement, CPhA has withdrawn its request for the court to consider the preliminary injunction on the shortened timeframe of July 12. Therefore, the hearing will now occur on Friday, August 30.

For more information, contact NACDS’ Mary Staples at 817-442-1155.

Rachel Michelin, the President of the California Retailers Association (CRA), has recently hired Steve McCarthy as Vice President of Public Policy and Regulatory Affairs and Jacob (Jake) Asare as Legislative Advocate. CRA is NACDS’ in-state partner on pharmacy issues.

For more information, contact NACDS’ Mary Staples at 817-442-1155.

NACDS and the California Retail Association submitted a joint letter to the Assembly Health Committee in support of AB 1803, legislation that delays the implementation of AB 315 (Chapter #905, 2018) and AB 2863 (Chapter #770, 2018) until Wednesday, January 1, 2020. In our letter, we pledged to continue to work with the legislature and the Board of Pharmacy to ensure that patients have receipts showing their cash payments so that they can submit information to their health plan to be applied against their deductibles.

Also in California… AB 1131, legislation that NACDS and the California Retailers Association support requiring comprehensive medication management (CMM) for Medi-Cal patients, passed the Assembly and was referred to the Senate for further action. The bill requires the Department of Health Care Services to establish reimbursement rates and rate billing codes for CMM services provided by a licensed pharmacist.

Also in California… The Board of Pharmacy re-elected all three officers: Victor Law as president, Greg Lippe as vice president and Allen Schaad as treasurer.

Despite successfully amending AB 1468 to carve pharmacies out of the definition of wholesalers, chain pharmacies submitted a letter to the Senate Appropriations Committee opposing the opioid tax bill because it could increase the cost of opioid medications for patients.

Also in California… Gov. Gavin Newsom (D) announced a statewide tour to launch his “California for All” healthcare proposals expanding Medi-Cal coverage to all eligible undocumented young adults ages 19-25, providing subsidies/monthly discounts to middle-income families, creating a single-purchaser system for prescription drugs and working with Congress to create a federal waiver allowing California to move toward single payer.

Also in California… AB 1803, legislation pharmacies support that would clean up a law that passed last session requiring that when a prescription drug’s purchase price is lower than the patient copayment and the patient chooses to pay cash, the pharmacy must transmit cost information to a health plan or insurer so the cost can be applied to the patient’s deductible, has passed the Assembly and is pending action by the full Senate. This bill delays the effective date of these requirements from January 1, 2019, to Wednesday, January 1, 2020, to allow time to establish a protocol for transmitting this information.

For more information, contact NACDS’ Mary Staples at 817-442-1155.