La. Admin. Code tit. 50 § XXIX-901

Current through Register Vol. 50, No. 11, November 20, 2024
Section XXIX-901 - Definitions

Average Acquisition Cost (AAC)-Repealed.

Average Wholesale Price-Repealed.

Brand Name-any registered trade name commonly used to identify a drug.

Legend Drugs- drugs which bear the federal legend: "Caution: federal law prohibits dispensing without a prescription."

Multiple Source Drug--a drug marketed or sold by two or more manufacturers or labelers or a drug marketed or sold by the same manufacturer or labeler under two or more different proprietary names or both under a proprietary name and without such a name.

National Average Drug Acquisition Cost (NADAC)-a national pricing benchmark that is reflective of actual invoice costs that pharmacies pay to acquire prescription and over-the-counter drugs. It is based upon invoice cost data collected from retail community pharmacies and reflects actual drug purchases.

Professional Dispensing Fee-the fee paid by the Medicaid Program to reimburse for the professional services provided by a pharmacist when dispensing a prescription. Per legislative mandate, the provider fee assessed for each prescription filled in the state of Louisiana, or shipped into the state of Louisiana, will be reimbursed separately.

Single Source Drug-a drug mandated or sold by one manufacturer or labeler.

Usual and Customary Charge-the lowest price the pharmacy would charge to a particular customer if such customer were paying cash for the identical prescription drug or prescription drug services on the date dispensed.

Wholesale Acquisition Cost (WAC)-the manufacturers published catalog price for a drug product to wholesalers as reported to Medicaid by one or more national compendia on a weekly basis.

La. Admin. Code tit. 50, § XXIX-901

Promulgated by the Department of Health and Hospitals, Office of the Secretary, Bureau of Health Services Financing, LR 32:1061 (June 2006), amended LR 34:87 (January 2008), amended by the Department of Health and Hospitals, Bureau of Health Services Financing, LR 36:1558 (July 2010), Amended by the Department of Health, Bureau of Health Services Financing, LR 431184 (6/1/2017), Amended by the Department of Health, Bureau of Health Services Financing, LR 431554 (8/1/2017), Amended LR 45571 (4/1/2019).
AUTHORITY NOTE: Promulgated in accordance with R.S. 36:254 and Title XIX of the Social Security Act.