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Business and Professions Code - BPC - BPC § 4426
Business and Professions Code - BPC - BPC § 4426
The State Department of Health Care Services shall conduct a study of the adequacy of Medi-Cal pharmacy reimbursement rates including the cost of providing prescription drugs and services.
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Business and Professions Code - BPC - BPC § 4427
Business and Professions Code - BPC - BPC § 4427
As used in this article, “drugs” or “dangerous drugs” shall have the same meaning as “dangerous drug” as provided in Section 4022 and “devices” or “dangerous devices” shall have the same meaning as “dangerous device” as provided in Section 4022.
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Business and Professions Code - BPC - BPC § 4427.1
Business and Professions Code - BPC - BPC § 4427.1
An ADDS shall not be installed or operated in California unless it meets the requirements of this article.
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Business and Professions Code - BPC - BPC § 4427.2
Business and Professions Code - BPC - BPC § 4427.2
(a) An ADDS installed, leased, owned, or operated in California shall be licensed by the board. (b) An ADDS license shall only be issued to the holder of a current, valid, and active pharmacy license of a pharmacy located and licensed in California. (c) A separate application and
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Business and Professions Code - BPC - BPC § 4427.3
Business and Professions Code - BPC - BPC § 4427.3
(a) An ADDS shall be placed and operated inside an enclosed building, with a premises address, at a location approved by the board. (b) An ADDS shall be placed and operated in one of the following locations: (1) Adjacent to the secured pharmacy area of the pharmacy holding the AD
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Business and Professions Code - BPC - BPC § 4427.4
Business and Professions Code - BPC - BPC § 4427.4
(a) The ADDS shall be owned or leased by the pharmacy holding the license for the ADDS. (b) Each ADDS shall only be operated under the supervision of the pharmacy holding the ADDS license. (c) An ADDS shall be considered an extension and part of the pharmacy holding the ADDS lice
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Business and Professions Code - BPC - BPC § 4427.5
Business and Professions Code - BPC - BPC § 4427.5
Prior to installation, and annually thereafter, the pharmacy holding the ADDS license shall provide training on the operation and use of the ADDS to pharmacy personnel and to personnel using the ADDS at the location where the ADDS is placed pursuant to subdivision (b) of Section
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Business and Professions Code - BPC - BPC § 4427.6
Business and Professions Code - BPC - BPC § 4427.6
In addition to any other requirements imposed by this article, an APDS shall additionally meet the following requirements: (a) The pharmacy shall develop and implement, and review annually, written policies and procedures pertaining to the APDS, including all of the following: (1
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Business and Professions Code - BPC - BPC § 4427.65
Business and Professions Code - BPC - BPC § 4427.65
(a) In addition to the locations authorized in Section 4427.3, an automated unit dose system (AUDS) may also be located and operated in either of the following locations: (1) A facility licensed by this state with the statutory authority to provide pharmaceutical services. (2) Ja
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Business and Professions Code - BPC - BPC § 4427.7
Business and Professions Code - BPC - BPC § 4427.7
(a) A pharmacy holding an ADDS license shall complete a self-assessment, performed pursuant to Section 1715 of Title 16 of the California Code of Regulations, evaluating the pharmacy’s compliance with pharmacy law relating to the use of the ADDS. All information regarding operati
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Business and Professions Code - BPC - BPC § 4427.8
Business and Professions Code - BPC - BPC § 4427.8
(a) This article shall become operative on July 1, 2019. (b) On or before January 1, 2025, as part of the board’s sunset evaluation process, and notwithstanding Sections 9795 and 10231.5 of the Government Code, the board shall report to the appropriate committees of the Legislatu
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Business and Professions Code - BPC - BPC § 4430
Business and Professions Code - BPC - BPC § 4430
For purposes of this chapter, the following definitions shall apply: (a) “Carrier” means a health care service plan, as defined in Section 1345 of the Health and Safety Code, or a health insurer that issues policies of health insurance, as defined in Section 106 of the Insurance
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Business and Professions Code - BPC - BPC § 4431
Business and Professions Code - BPC - BPC § 4431
(a) Nothing in this chapter shall apply to an audit conducted because a pharmacy benefit manager, carrier, health benefit plan sponsor, or other third-party payer has indications that support a reasonable suspicion that criminal wrongdoing, willful misrepresentation, fraud, or ab
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Business and Professions Code - BPC - BPC § 4432
Business and Professions Code - BPC - BPC § 4432
Notwithstanding any other law, a contract that is issued, amended, or renewed on or after January 1, 2013, between a pharmacy and a carrier or a pharmacy benefit manager to provide pharmacy services to beneficiaries of a health benefit plan shall comply with the provisions of thi
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Business and Professions Code - BPC - BPC § 4433
Business and Professions Code - BPC - BPC § 4433
(a) An entity conducting a pharmacy audit shall not receive payment or any other consideration on any basis that is tied to the amount claimed or actual amount recovered from the pharmacy that is the subject of the audit. Nothing in this subdivision shall be construed to prevent
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Business and Professions Code - BPC - BPC § 4434
Business and Professions Code - BPC - BPC § 4434
(a) Except as otherwise prohibited by state or federal law, an entity conducting a pharmacy audit shall keep confidential any information collected during the course of the audit and shall not share any information with any person other than the carrier, pharmacy benefit manager,
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Business and Professions Code - BPC - BPC § 4435
Business and Professions Code - BPC - BPC § 4435
(a) An entity conducting an onsite pharmacy audit shall not initiate or schedule a pharmacy audit during the first five business days of any calendar month, unless it is expressly agreed to by the pharmacy being audited. (b) An entity conducting an onsite pharmacy audit shall pro
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Business and Professions Code - BPC - BPC § 4436
Business and Professions Code - BPC - BPC § 4436
(a) A pharmacy audit that involves clinical judgment shall be conducted by, or in consultation with, a licensed pharmacist. (b) An entity conducting a pharmacy audit shall make all determinations regarding the legal validity of a prescription or other record consistent with deter
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Business and Professions Code - BPC - BPC § 4437
Business and Professions Code - BPC - BPC § 4437
The time period covered by a pharmacy audit shall not exceed 24 months from the date that the claim was submitted to, or adjudicated by, the pharmacy benefits manager, unless a longer period is required under state or federal law or unless the originating prescription is required
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Business and Professions Code - BPC - BPC § 4438
Business and Professions Code - BPC - BPC § 4438
(a) (1) An entity conducting a pharmacy audit shall deliver a preliminary audit report to the pharmacy before issuing a final audit report. This preliminary report shall be issued no later than 60 days after conclusion of the audit. (2) A pharmacy shall be provided a time period
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Business and Professions Code - BPC - BPC § 4439
Business and Professions Code - BPC - BPC § 4439
This chapter shall not be construed to suggest or imply that the Department of Consumer Affairs or the California State Board of Pharmacy has any jurisdiction or authority over the provisions of this chapter.
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Business and Professions Code - BPC - BPC § 4440
Business and Professions Code - BPC - BPC § 4440
(a) A pharmacy benefit manager that reimburses a contracting pharmacy for a drug on a maximum allowable cost basis shall comply with this section. (b) A pharmacy benefit manager shall include in a contract, initially entered into, or renewed on its scheduled renewal date, on or a
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Business and Professions Code - BPC - BPC § 4441
Business and Professions Code - BPC - BPC § 4441
(a) For purposes of this section, the following definitions shall apply: (1) “Labeler” means a person or entity that receives prescription drugs from a manufacturer or wholesaler and repackages those drugs for later retail sale and who has a labeler code from the federal Food and
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Business and Professions Code - BPC - BPC § 450
Business and Professions Code - BPC - BPC § 450
In addition to the qualifications provided in the respective chapters of this code, a public member or a lay member of any board shall not be, nor shall they have been within the period of five years immediately preceding their appointment, any of the following: (a) An employer,
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Business and Professions Code - BPC - BPC § 450.2
Business and Professions Code - BPC - BPC § 450.2
In order to avoid a potential for a conflict of interest, a public member of a board shall not: (a) Be a current or past licensee of that board. (b) Be a close family member of a licensee of that board.