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Ohio · Through 2019-10-17 (House Bill 166 - 133rd General Assembly)

Ohio Rev. Code § 5167.245: Appeals process.

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Where this section sits in the code
  1. Title 51 Public Welfare
  2. Chapter 5167 Medicaid Managed Care

The medicaid director shall establish an appeals process by which pharmacies may appeal to the department of medicaid any disputes relating to the maximum allowable cost set by the state pharmacy benefit manager for a prescribed drug. All pharmacies participating in the care management system shall use the appeals process to resolve any disputes relating to the maximum allowable cost set by the state pharmacy benefit manager.

Collected 2026-09-14T19:24:40Z. Source file · JSON

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