SENATE AMENDMENT

    Bill No. HB 2151, 1st Eng.

    Amendment No.    

                            CHAMBER ACTION
              Senate                               House
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11  Senator Saunders moved the following amendment to amendment

12  (443222):

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14         Senate Amendment 

15         On page 3, line 28, through

16            page 4, line 3, delete those lines

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18  and insert:

19         5.  The agency is authorized to establish pharmacy

20  network controls directed only at reducing fraud, such as

21  establishing minimum initial pharmacy drug inventories. The

22  agency may not limit the size of its pharmacy network based on

23  need, competitive bidding, price negotiations, credentialing,

24  or similar criteria.

25         6.  The agency shall develop and implement a program

26  that requires Medicaid practitioners who prescribe drugs to

27  use a counterfeit-proof prescription pad for Medicaid

28  prescriptions. The agency shall require the use of

29  standardized counterfeit-proof prescription pads by

30  Medicaid-participating prescribers. The agency may implement

31  the program in targeted geographic areas or statewide. If a

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                                                  SENATE AMENDMENT

    Bill No. HB 2151, 1st Eng.

    Amendment No.    





 1  pharmacist receives a request to fill a prescription that is

 2  not written on a counterfeit-proof prescription form and the

 3  pharmacist is unable to verify authorization for the

 4  prescription with the prescriber, a pharmacist may dispense,

 5  on a one-time basis, up to a 72-hour supply of the prescribed

 6  medication if:

 7         a.  The prescription is not a medicinal drug listed in

 8  Schedule II in chapter 893;

 9         b.  The medication is essential to the maintenance of

10  life or the continuation of therapy for a chronic condition;

11         c.  In the pharmacist's professional judgment, the

12  interruption of therapy might reasonably produce undesirable

13  health consequences or may cause physical or mental

14  discomfort;

15         d.  The pharmacist creates a second written order that

16  contains all of the prescription information required by

17  chapters 465, 499, and 893 and signs that order; and

18         e.  The pharmacist notifies the prescriber within a

19  reasonable time after dispensing the medication and notifies

20  the agency that the prescription was not written on a

21  counterfeit-proof prescription form.

22  (Redesignate subsequent subparagraphs.)

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