FL H1057

Removes requirement for Agency for Health Care Administration (AHCA) to submit annual report on pharmaceutical expense assistance program to Legislature.

Revises prescribed drug reimbursement methodology to base payments on lowest of: average wholesale price minus 16.4 percent, wholesaler acquisition cost plus 1.5 percent, federal upper limit, state maximum allowable cost, or usual and customary charge.

Changes prior consultation requests to prior authorization requests for Medicaid prescribed drugs and establishes 24-hour response requirement with 72-hour emergency drug supply provision.

Removes requirement to expand home delivery of pharmacy products and removes authorization for specified dispensing fee increases; repeals quarterly reporting requirements on pharmaceutical spending.

Designates AHCA rather than Department of Children and Families to administer Medicaid fair hearings for preferred drug formulary appeals and repeals Organ Transplant Advisory Council statute.