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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>81429</law_id><section_number>54.1-3436.1</section_number><catch_line>Prescription drug price transparency</catch_line><edition url="https://vacode.org/2025/" slug="2025" current="TRUE" last_updated="">2025</edition><referred_to_by><reference>2.2-3705.6</reference><reference>32.1-23.4</reference></referred_to_by><structure><unit label="title" level="1" order_by="1" identifier="54.1">Professions and Occupations</unit><unit label="subtitle" level="2" order_by="1" identifier="III">Professions and Occupations Regulated by Boards Within the Department of Health Professions</unit><unit label="chapter" level="3" order_by="1" identifier="34">Drug Control Act</unit><unit label="article" level="4" order_by="1" identifier="3">Wholesale Distributors and Medical Equipment Suppliers</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> As used in this section:
			&#x201C;<span class="dictionary">Brand-name drug</span>&#x201D; means a <span class="dictionary">prescription drug</span> approved under 21 U.S.C. &#xA7; 355(b) or 42 U.S.C. &#xA7; 262.
			&#x201C;<span class="dictionary">Generic drug</span>&#x201D; means a <span class="dictionary">prescription drug</span> approved under 21 U.S.C. &#xA7; 355(j).
			&#x201C;<span class="dictionary">Nonprofit data services organization</span>&#x201D; has the same meaning as set forth in &#xA7; <a class="law" title="Prescription drug price transparency; civil penalty" href="/32.1-23.4/">32.1-23.4</a>.
			&#x201C;<span class="dictionary">Pharmacy benefits manager</span>&#x201D; has the same meaning as set forth in &#xA7; <a class="law" title="Limit on copayment for prescription drugs; permitted disclosures" href="/38.2-3407.15_4/">38.2-3407.15:4</a>.
			&#x201C;<span class="dictionary">Wholesale acquisition cost</span>&#x201D; has the same meaning as set forth in 42 U.S.C. &#xA7; 1395w-3a(c)(6)(B). <a id="paragraph-291774" class="section-permalink" href="https://vacode.org/54.1-3436.1/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> To ensure data that is useful, relevant, and not duplicative, the Department of Health may request <span class="dictionary">wholesale distributors</span> to report to the nonprofit organization with which the Department of Health has entered into a <span class="dictionary">contract</span> or agreement pursuant to &#xA7;&#xA0;<a class="law" title="Prescription drug price transparency; civil penalty" href="/32.1-23.4/">32.1-23.4</a> the following information on the 25 costliest <span class="dictionary">drugs</span> in the Commonwealth upon a determination by the Department of Health that data received from health carriers, <span class="dictionary">pharmacy benefits managers</span>, and <span class="dictionary">manufacturers</span> is insufficient: <a id="paragraph-291775" class="section-permalink" href="https://vacode.org/54.1-3436.1/#B"><i class="fa fa-link"/></a></p></section>
						<section id="B1" class="indent-1"><p><span class="prefix-number">1.</span> The <span class="dictionary">wholesale acquisition cost</span> that the <span class="dictionary">wholesale distributor</span> has negotiated directly with the <span class="dictionary">manufacturer</span> in the last calendar year, related to the 25 costliest <span class="dictionary">drugs</span> dispensed in the Commonwealth; <a id="paragraph-291776" class="section-permalink" href="https://vacode.org/54.1-3436.1/#B1"><i class="fa fa-link"/></a></p></section>
						<section id="B2" class="indent-1"><p><span class="prefix-number">2.</span> The <span class="dictionary">wholesale acquisition cost</span> that the <span class="dictionary">wholesale distributor</span> has negotiated directly with the <span class="dictionary">manufacturer</span> in the current calendar year for the 25 costliest <span class="dictionary">drugs</span> dispensed in the Commonwealth; <a id="paragraph-291777" class="section-permalink" href="https://vacode.org/54.1-3436.1/#B2"><i class="fa fa-link"/></a></p></section>
						<section id="B3" class="indent-1"><p><span class="prefix-number">3.</span> Aggregate total rebates, discounts, and price concessions negotiated directly with the <span class="dictionary">manufacturer</span> for the 25 costliest <span class="dictionary">drugs</span> dispensed in the Commonwealth in the last calendar year, for business in the Commonwealth, in total; and <a id="paragraph-291778" class="section-permalink" href="https://vacode.org/54.1-3436.1/#B3"><i class="fa fa-link"/></a></p></section>
						<section id="B4" class="indent-1"><p><span class="prefix-number">4.</span> Aggregate total discounts, <span class="dictionary">dispensing</span> fees, and other fees negotiated in the last calendar year with pharmacies, for the 25 costliest <span class="dictionary">drugs</span> dispensed in the Commonwealth, in total. <a id="paragraph-291779" class="section-permalink" href="https://vacode.org/54.1-3436.1/#B4"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> A report submitted by a <span class="dictionary">wholesale distributor</span> pursuant to subsection B shall not disclose the identity of a specific <span class="dictionary">wholesale distributor</span>, the price charged for a specific <span class="dictionary">prescription drug</span> or class of <span class="dictionary">prescription drugs</span>, or the amount of any price concession, rebate, or fee provided for a specific <span class="dictionary">prescription drug</span> or class of <span class="dictionary">prescription drugs</span>. <a id="paragraph-291780" class="section-permalink" href="https://vacode.org/54.1-3436.1/#C"><i class="fa fa-link"/></a></p></section></text><history>2021, Sp. Sess. I, c. 304.</history><metadata></metadata></law>
