MN SF4330

Modifies the definition of "usual and customary price" for medical assistance prescription drug reimbursement by excluding prescription savings clubs or discount clubs that require individuals to pay for access to special rates or discounts.

Maintains the $10.77 professional dispensing fee for legend drugs and intravenous solutions, and $10.77 for over-the-counter drugs meeting the definition of covered outpatient drugs in manufacturer package quantities.

Requires payment basis to be reduced to reflect all discount amounts applied through third-party provider/insurer agreements or contracts submitted to medical assistance programs.

Establishes that the net submitted charge may not exceed the patient liability for the service.