§ 130513 Pharmacy Claims Processing System

(a) The department shall establish and maintain a claims processing system that complies with all of the following requirements: (1) Charges a price that meets the requirements of this division. (2) Provides the pharmacy with the dollar amount of the discount to be returned to the pharmacy. (3) Provides drug utilization review warnings to pharmacies consistent with the drug utilization review standards provided in federal law. (b) The department shall pay a participating pharmacy the discount provided to program participants pursuant to this division by a date that is not later than two weeks after the claim is received. (c) The department shall develop a mechanism for the program participants to report problems or complaints. (Added by Stats. 2006, Ch. 619, Sec. 2. Effective January 1, 2007. Provisions operative and implemented on or after July 1, 2010, as prescribed in Section 130500. Conditionally inoperative on February 1, 2015. Repealed conditionally on January 1, 2016, pursuant to Section 130500.)