California Welfare and Institutions Code
§ 14105.455
WIC § 14105.455 Effective Jun 29, 2011Div. 9 · Part 3 · Ch. 7 · Art. 3
Statute text
View on leginfo.ca.gov(a)Pharmacy providers shall submit their usual and customary charge when billing the Medi-Cal program for prescribed drugs.
(b)“Usual and customary charge” means the lower of the following:
(1)The lowest price reimbursed to the pharmacy by other third-party payers in California, excluding Medi-Cal managed care plans and Medicare Part D prescription drug plans.
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Legislative history
Amended by Stats. 2011, Ch. 29, Sec. 16. (AB 102) Effective June 29, 2011.