HF4305 Summary

• Modifies the definition of "usual and customary price" for medical assistance prescription drug reimbursement to exclude prescription savings or discount clubs where individuals pay to access special rates or discounts.

• Maintains professional dispensing fees at $10.77 for legend drugs and covered outpatient drugs, $10.77 per claim for compounded intravenous solutions, and $3.65 for over-the-counter drugs not meeting covered outpatient drug definitions.

• Requires the commissioner to contract with a vendor to conduct cost of dispensing surveys for all Minnesota pharmacies dispensing outpatient drugs under medical assistance, with initial survey due by January 1, 2021, and repeated every three years.

• Increases ingredient cost reimbursement by 1.8 percent for prescription and nonprescription drugs subject to the wholesale drug distributor tax under Minnesota law.