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40.53

40.53 Pharmacy benefits purchasing pool.

40.53(1)

(1) In this section:

40.53(1)(a)

(a) "Brand name" has the meaning given in s. 450.12 (1) (a).

40.53(1)(b)

(b) "Eligible party" means an employer, other than the state, or a person in this state.

40.53(1)(c)

(c) "Generic name" has the meaning given in s. 450.12 (1) (b).

40.53(1)(d)

(d) "Prescription drug" has the meaning given in s. 450.01 (20).

40.53(2)

(2) The group insurance board shall develop a purchasing pool for pharmacy benefits that uses a preferred list of covered prescription drugs. The pool shall consist of the state and any eligible party that satisfies the conditions established under sub. (3) for joining the pool. The group insurance board shall seek to develop the preferred list of covered prescription drugs under an evidence-based analysis that first identifies the relative effectiveness of prescription drugs within therapeutic classes for particular diseases and conditions and next identifies the least costly prescription drugs, including prescription drugs with generic names that are alternatives to prescription drugs with brand names, among those found to be equally effective.

40.53(3)

(3) The group insurance board shall propose conditions that an eligible party must satisfy to join the purchasing pool established under sub. (2).

40.53 - ANNOT.

NOTE: This section is renumbered to s. 146.45 and amended eff. 1-1-11 by 2009 Wis. Act 28.

40.53 - ANNOT.

History: 2003 a. 33.