31 Pa. Code § 89.807 - Immunizing agents, doses and AWPs

(a) One hundred fifty percent of the AWP of the immunizing agent that may be used in a child immunization in accordance with § 89.806 (relating to coverage of child immunizations) is to be calculated by taking 150% of the AWP of the purchase unit for the immunizing agent, using the AWP and purchase unit information contained in the Blue Book American Druggist First Databank Annual Directory of Pharmaceuticals as revised in monthly updates prepared by the First Databank Directory of Pharmaceuticals, and then dividing by the number of doses comprising the purchase unit based upon the dose of the immunizing agent used in the child's immunization. Example: If the AWP of the purchase unit (15 dose 7.5 ml vial) of DTP, Lederle, TRI-IMMUNOL is $172.95, 150% of the AWP of an 0.5 ml dose of DTP, Lederle, TRI-IMMUNOL = 1.5 (150%) x $172.95 (AWP of the purchase unit) ÷ 15· (number of 0.5 ml doses in 7.5 ml vial) = $17.30.

(b) The Department of Health will place a notice in the Pennsylvania Bulletin which contains information on immunizing agents and doses which the Department of Health has extracted from ACIP recommendations issued under the standards in § 89.806(a). The Department of Health will publish the initial notice contemporaneously with the publication of this subchapter. The Department of Health will update the information in a notice which it will publish in the Pennsylvania Bulletin within 30 days after ACIP issues a recommendation pursuant to the standards in § 89.806(a). The Department of Health will recommend that the information contained in the initial notice and the update to that information contained in a later notice be codified in the Pennsylvania Code. The Department of Health will also periodically list AWPs for immunizing agents in a notice which it will publish in the Pennsylvania Bulletin. See Appendix H.

Notes

31 Pa. Code § 89.807

This section cited in 31 Pa. Code § 89.801 (relating to authority and purpose; implementation); and 31 Pa. Code Chapter 89, Appendix H (relating to immunizing agents and doses).