Bill Text - SB95 (2013)

Relative to choice of pharmacy under workers' compensation.


Revision: Jan. 25, 2013, midnight

SB 95 – AS INTRODUCED

2013 SESSION

13-0887

01/10

SENATE BILL 95

AN ACT relative to choice of pharmacy under workers’ compensation.

SPONSORS: Sen. Carson, Dist 14; Rep. Goley, Hills 8; Rep. Theberge, Coos 3; Rep. D. Eaton, Ches 3

COMMITTEE: Commerce

ANALYSIS

This bill establishes that an injured employee has the right to choose his or her own pharmacy or pharmacist for purposes of medicines required under workers’ compensation. This bill also establishes pharmacy fee formulas for reimbursement for prescription drugs required under RSA 281-A.

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Explanation: Matter added to current law appears in bold italics.

Matter removed from current law appears [in brackets and struckthrough.]

Matter which is either (a) all new or (b) repealed and reenacted appears in regular type.

13-0887

01/10

STATE OF NEW HAMPSHIRE

In the Year of Our Lord Two Thousand Thirteen

AN ACT relative to choice of pharmacy under workers’ compensation.

Be it Enacted by the Senate and House of Representatives in General Court convened:

1 New Paragraph; Workers’ Compensation; Pharmacy Choice. Amend RSA 281-A:23 by inserting after paragraph VII the following new paragraph:

VIII.(a) An injured employee shall have the right to select his or her own pharmacy or pharmacist for dispensing and filling prescriptions for medicines required under this chapter.

(b) The insurance carrier shall reimburse the health care provider or pharmacy processing agent for prescription drugs. The fee established by the following formulas based on the average wholesale price (AWP) as reported by a nationally recognized pharmaceutical price guide or other publication of pharmaceutical pricing data in effect on the day the prescription is dispensed:

(1) Generic drugs: (AWP per unit) x (number of units) x 1.25) + $4.00 dispensing fee=reimbursement amount;

(2) Brand name drugs: (AWP per unit) x (number of units) x 1.09) + $4.00 dispensing fee=reimbursement amount.

2 Effective Date. This act shall take effect January 1, 2014.