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2002 SESSION

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HB 904 Virginia Insurance Plan for Seniors (VIPS).

Introduced by: Harry R. Purkey | all patrons    ...    notes | add to my profiles

SUMMARY AS INTRODUCED:

DMAS; Virginia Insurance Plan for Seniors (VIPS). Establishes the Virginia Insurance Plan for Seniors (VIPS) to provide assistance in the purchase of prescription drugs for those persons who are dually eligible for Medicaid and Medicare but who do not qualify for prescription assistance. Payment assistance is limited to $80 per month per eligible person, but unused amounts may be rolled over and credited to that person for future use; however, no direct cash payment will be made to any eligible person. Participants must pay a $10 co-payment for each prescription; also they are required to use generic drugs unless they are willing to pay the difference between the generic and name-brand drug. Approved drugs in the plan are those manufactured by pharmaceutical companies that agree to provide manufacturer rebates equal to the rebate required by the Medicaid program and to make the drug product available to the plan for the best price that the manufacturer makes the drug available in the Medicaid program. Any licensed pharmacist may participate according to the rules adopted for the program and shall be paid a reasonable reimbursement to cover the cost of the drug and costs for dispensing; payments to pharmacists shall not vary based on the size of the entity dispensing the prescription. Beneficiary cost-sharing amounts shall not vary based on the source of dispensing or method of distribution of the prescription.


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