Haw. Code R. § 17-1722-128 - Pharmacy or PDP reimbursement
(a) A pharmacy or a
PDP shall submit claims to the department or its designee to verify the amount
charged to program members. On a schedule to be determined by the department,
the department shall reimburse each pharmacy or PDP for the co-payments or any
portion thereof charged to, but not collected from, program members.
(b) The department or its designee shall
collect prescription drug utilization data necessary to calculate the amount of
the manufacturer rebate under section 17-1722-127. The department shall protect
the confidentiality of the data as required under State or federal law, rule,
or regulation.
(c) The department
shall not impose transaction charges on participating pharmacies or PDPs that
submit claims or receive payments under the program.
Notes
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