Sec. 17b-279. (Formerly Sec. 17-134aa). Medicaid prescription drug utilization review. Erectile dysfunction drugs. Prior authorization requirement and coverage limitation. Report.
Sec. 17b-279. (Formerly Sec. 17-134aa). Medicaid prescription drug utilization review. Erectile dysfunction drugs. Prior authorization requirement and coverage limitation. Report. The Commissioner of Social Services shall verify the propriety and reasonableness of payments to providers for drugs provided to Medicaid
recipients through field audit examinations and other reasonable means to the extent
possible within available appropriations. To the extent permitted by federal law, the
commissioner shall require prior authorization for coverage of drugs for the treatment
of erectile dysfunction. To the extent permitted by federal law, the commissioner may
limit or exclude coverage for drugs for the treatment of erectile dysfunction for persons
who have been convicted of a sexual offense who are required to register with the Commissioner of Public Safety pursuant to chapter 969. The commissioner shall document
financial and utilization statistics as to drugs provided to Medicaid recipients by therapeutic category and shall outline problems encountered in the administration of prescription drug utilization in the Medicaid program, suggested solutions and any recommendations for improvement.
(P.A. 89-296, S. 1, 9; P.A. 91-190, S. 1, 9; P.A. 93-262, S. 1, 87; May 9 Sp. Sess. P.A. 02-7, S. 88; P.A. 03-268, S. 8;
P.A. 05-280, S. 15.)
History: P.A. 91-190 amended Subsec. (a) to eliminate advisory panel to review prescription drug utilization in the
Medicaid program and repealed Subsec. (b) requiring commissioner to study feasibility of implementing a limited formulary
of high volume drugs for medical assistance recipients and a rebate to the state from a pharmaceutical manufacturer or
direct distributor of a percentage of total sales to the state, and to report results to general assembly committees by February
15, 1990; P.A. 93-262 authorized substitution of commissioner and department of social services for commissioner and
department of income maintenance, effective July 1, 1993; Sec. 17-134aa transferred to Sec. 17b-279 in 1995; May 9 Sp.
Sess. P.A. 02-7 deleted ", including the generic incentive dispensing fee", effective September 1, 2002; P.A. 03-268
deleted requirement that commissioner submit annual report to human services and appropriations committees; P.A. 05-280 required commissioner to implement prior authorization for coverage of drugs for the treatment of erectile dysfunction
under the Medicaid program and permitted commissioner to limit or exclude coverage for such drugs for persons who
have been convicted of a sexual offense who are required to register with the Commissioner of Public Safety pursuant to
chapter 969, effective July 1, 2005.
Cited as "17b-260 et seq. (providing for supplemental medical assistance)". 233 C. 557.