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<law><site_title>Virginia Decoded</site_title><site_url>https://vacode.org</site_url><law_id>75222</law_id><section_number>54.1-3442.02</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>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="4">Permitting of Manufacturers</unit></structure><text>
						<section id="A"><p><span class="prefix-number">A.</span> As used in this section:
			&#x201C;<span class="dictionary">Biosimilar</span>&#x201D; means a drug that is produced or distributed pursuant to a biologics license application approved under 42 U.S.C. &#xA7; 262(k)(3).
			&#x201C;<span class="dictionary">Brand-name drug</span>&#x201D; means a prescription drug 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 prescription drug approved under 21 U.S.C. &#xA7; 355(j) or 42 U.S.C. 262(k).
			&#x201C;<span class="dictionary">New prescription drug</span>&#x201D; means a drug or <span class="dictionary">biological product</span> receiving initial approval under an original <span class="dictionary">new drug</span> application pursuant to 21 U.S.C. &#xA7; 355(b) or under a biologics license application under 42 U.S.C. &#xA7; 262.
			&#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-270109" class="section-permalink" href="https://vacode.org/54.1-3442.02/#A"><i class="fa fa-link"/></a></p></section>
						<section id="B"><p><span class="prefix-number">B.</span> Every <span class="dictionary">manufacturer</span> shall report annually by April 1 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>, for each (i) <span class="dictionary">brand-name drug</span> and biologic other than a <span class="dictionary">biosimilar</span> with a <span class="dictionary">wholesale acquisition cost</span> of $100 or more for a 30-day supply or a single course of treatment and any increase of 15 percent or more in the <span class="dictionary">wholesale acquisition cost</span> of such <span class="dictionary">brand-name drug</span> or biologic over the preceding calendar year; (ii) <span class="dictionary">biosimilar</span> with an initial <span class="dictionary">wholesale acquisition cost</span> that is not at least 15 percent less than the <span class="dictionary">wholesale acquisition cost</span> of the referenced brand biologic at the time the <span class="dictionary">biosimilar</span> is launched; and (iii) <span class="dictionary">generic drug</span> with a price increase that results in an increase in the <span class="dictionary">wholesale acquisition cost</span> of such <span class="dictionary">generic drug</span> that is equal to 200 percent or more during the preceding 12-month period, when the <span class="dictionary">wholesale acquisition cost</span> of such <span class="dictionary">generic drug</span> is equal to or greater than $100, annually adjusted by the Consumer Price Index for All Urban Consumers, for a 30-day supply, with such increase defined as the difference between the <span class="dictionary">wholesale acquisition cost</span> of the <span class="dictionary">generic drug</span> after such increase and the average <span class="dictionary">wholesale acquisition cost</span> of such <span class="dictionary">generic drug</span> during the previous 12 months, the following information: <a id="paragraph-270110" class="section-permalink" href="https://vacode.org/54.1-3442.02/#B"><i class="fa fa-link"/></a></p></section>
						<section id="B1" class="indent-1"><p><span class="prefix-number">1.</span> The name of the prescription drug; <a id="paragraph-270111" class="section-permalink" href="https://vacode.org/54.1-3442.02/#B1"><i class="fa fa-link"/></a></p></section>
						<section id="B2" class="indent-1"><p><span class="prefix-number">2.</span> Whether the drug is a brand name or generic; <a id="paragraph-270112" class="section-permalink" href="https://vacode.org/54.1-3442.02/#B2"><i class="fa fa-link"/></a></p></section>
						<section id="B3" class="indent-1"><p><span class="prefix-number">3.</span> The effective date of the change in <span class="dictionary">wholesale acquisition cost</span>; <a id="paragraph-270113" class="section-permalink" href="https://vacode.org/54.1-3442.02/#B3"><i class="fa fa-link"/></a></p></section>
						<section id="B4" class="indent-1"><p><span class="prefix-number">4.</span> Aggregate, company-level research and development costs for the most recent year for which final audit data is available; <a id="paragraph-270114" class="section-permalink" href="https://vacode.org/54.1-3442.02/#B4"><i class="fa fa-link"/></a></p></section>
						<section id="B5" class="indent-1"><p><span class="prefix-number">5.</span> The name of each of the <span class="dictionary">manufacturer</span>&#x2019;s <span class="dictionary">new prescription drugs</span> approved by the U.S. Food and Drug Administration within the previous three calendar years; <a id="paragraph-270115" class="section-permalink" href="https://vacode.org/54.1-3442.02/#B5"><i class="fa fa-link"/></a></p></section>
						<section id="B6" class="indent-1"><p><span class="prefix-number">6.</span> The name of each of the <span class="dictionary">manufacturer</span>&#x2019;s prescription drugs that, within the previous three calendar years, became subject to generic competition and for which there is a therapeutically equivalent generic version; and <a id="paragraph-270116" class="section-permalink" href="https://vacode.org/54.1-3442.02/#B6"><i class="fa fa-link"/></a></p></section>
						<section id="B7" class="indent-1"><p><span class="prefix-number">7.</span> A concise statement regarding the factor or factors that caused the increase in <span class="dictionary">wholesale acquisition cost</span>. <a id="paragraph-270117" class="section-permalink" href="https://vacode.org/54.1-3442.02/#B7"><i class="fa fa-link"/></a></p></section>
						<section id="C"><p><span class="prefix-number">C.</span> A <span class="dictionary">manufacturer</span>&#x2019;s obligations pursuant to this section shall be fully satisfied by the submission to the <span class="dictionary">nonprofit data services organization</span> with which the Department of Health has entered into a <span class="dictionary">contract</span> pursuant to &#xA7; <a class="law" title="Prescription drug price transparency; civil penalty" href="/32.1-23.4/">32.1-23.4</a> of information and data that a <span class="dictionary">manufacturer</span> includes in the <span class="dictionary">manufacturer</span>&#x2019;s annual <span class="dictionary">consolidation</span> report on Securities and Exchange Commission Form 10-K or any other public disclosure. <a id="paragraph-270118" class="section-permalink" href="https://vacode.org/54.1-3442.02/#C"><i class="fa fa-link"/></a></p></section></text><history>2021, Sp. Sess. I, c. 304.</history><metadata></metadata></law>
