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22-6-121
Section 22-6-121 Medicaid Pharmacy and Therapeutics Committee - Composition; meetings.
(a) The Alabama Medicaid Agency shall utilize a Medicaid Pharmacy and Therapeutics Committee
within the agency for the purpose of advising and assisting Medicaid in the development of
a preferred drug plan pursuant to 42 U.S.C. ยง1396r-8. (b) The Medicaid Pharmacy and Therapeutics
Committee shall be comprised and consist of three clinical pharmacists licensed to practice
in the State of Alabama and at least five physicians licensed to practice medicine in the
State of Alabama. Physician members will be appointed by the Medicaid Commissioner from a
list of at least two nominees for each position submitted by the Medical Association of the
State of Alabama. Clinical pharmacist members will be nominated by the Alabama Pharmacy Association
and appointed by the Medicaid Commissioner. Members of the Medicaid Pharmacy and Therapeutics
Committee should be enrolled Medicaid providers and have experience...
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22-6-122
Section 22-6-122 Medicaid Pharmacy and Therapeutics Committee - Classification and recommendation
of drugs; assurance of quality patient care; review of pharmaceutical products. (a) The Medicaid
Pharmacy and Therapeutics Committee shall review and recommend classes of drugs to the Medicaid
Commissioner for inclusion in the Medicaid Preferred Drug Plan. Class means a therapeutic
group of pharmaceutical agents approved by the FDA as defined by the American Hospital Formulary
Service. The classes of anti-retroviral and anti-psychotic drugs shall not be included in
the Medicaid Preferred Drug Plan. (b) The Medicaid Pharmacy and Therapeutics Committee shall
develop its preferred drug list recommendations by considering the clinical efficacy, safety,
and cost effectiveness of a product. Within each covered class, the committee shall review
and recommend drugs to the Medicaid Commissioner for inclusion on a preferred drug list. Generics
and over the counter drugs covered by Medicaid may be...
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22-6-123
Section 22-6-123 Considerations for inclusions on preferred drug list; review; adoption
of list. (a) Drugs will be considered for the Medicaid preferred drug list based on clinical
efficacy, side effect profiles, appropriate usage, and cost effectiveness. (b) The Medicaid
Pharmacy and Therapeutics Committee shall perform a thorough review of relevant clinical and
medical considerations, including, but not limited to: Medicaid Drug Utilization Review (DUR)
data; Surveillance Utilization Review (SUR) data; potential abuse, misuse, or inappropriate
use in prescribing and/or dispensing patterns; inconsistency with FDA approved labeling, inconsistency
with uses recognized in the American Hospital Formulary Service Drug Information, and the
American Medical Association Drug Evaluations, or the U.S. Pharmacopoeia Dispensing Information.
(c) The Medicaid Pharmacy and Therapeutics Committee shall recommend and the Medicaid Agency
shall adopt an initial Medicaid preferred drug list not later...
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22-6-151
Section 22-6-151 Regional care organizations; governing board of directors; citizen's
advisory committee; solvency and financial requirements; reporting; provider standards committee.
(a) A regional care organization shall serve only Medicaid beneficiaries in providing medical
care and services. (b) Notwithstanding any other provision of law, a regional care organization
shall not be deemed an insurance company under state law. (c)(1) A regional care organization
and an organization with probationary regional care organization certification shall have
a governing board of directors composed of the following members: a. Twelve members shall
be persons representing risk-bearing participants in the regional care organization or organization
with probationary certification. A participant bears risk by contributing cash, capital, or
other assets to the regional care organization. A participant also bears risk by contracting
with the regional care organization to treat Medicaid beneficiaries...
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22-6-120
Section 22-6-120 Legislative findings. The Legislature finds the following: (1) The
availability of appropriate pharmaceutical benefits to every Alabama citizen is a critical
component to the overall health of its population. (2) Alabama should strive to provide appropriate,
safe, effective, and cost-efficient pharmaceutical care to those who depend on health benefits
through state funded programs. (3) The Alabama Medicaid Agency should endeavor to manage the
Medicaid Pharmacy Program utilizing clinical management tools in a manner to foster optimal
health outcomes at reasonable costs. (4) State Medicaid programs and private insurance plans
across the country utilize preferred drug lists as an effective way to foster and encourage
clinically appropriate and safe use of pharmaceuticals in a cost-effective manner. (5) Based
on the proven effectiveness of preferred drug programs to foster appropriate use of drugs,
it is in the best interests of Alabama and its citizens for the Alabama...
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27-1-22
Section 27-1-22 Uniform prescription drug information card or technology. (a) Every
health benefit plan that provides coverage for prescription drugs or devices, or administers
a plan, including, but not limited to, third party administrators for self-insured plans and
state administered plans, excluding the Alabama Medicaid Program, shall issue to its insureds
a card or other technology containing prescription drug information. The uniform prescription
drug information card or technology shall be in the format approved by the National Council
for Prescription Drug Programs (NCPDP) and shall include all of the required fields and conform
to the most recent pharmacy ID card or technology implementation guide produced by NCPDP or
conform to a national format acceptable to the Commissioner of Insurance. If a health care
plan includes a conditional or situational field, it shall conform to the most recent pharmacy
information card or technology implementation guide by the NCPDP or conform...
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34-38-2
Section 34-38-2 Promotion of early treatment, etc., of individuals impaired by illness,
inebriation, etc.; Alabama Impaired Professionals' Committee; expenses; competitive bidding
not required. It shall be the duty and obligation of the State Board of Dental Examiners and
the State Board of Pharmacy to promote the early identification, intervention, treatment,
and rehabilitation of individuals within the respective jurisdiction, licensed to practice
in the State of Alabama, who may be impaired by reason of illness, inebriation, excessive
use of drugs, narcotics, controlled substances, alcohol, chemicals, or other dependent forming
substances, or as a result of any physical or mental condition rendering such person unable
to meet the standards of his or her profession. For the purposes of this chapter, the term
"impaired" shall mean the inability of a dentist, hygienist, or pharmacist to practice
with reasonable skill and safety to patients by reason of illness, inebriation, excessive...
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29-2-105
Section 29-2-105 Coordination council - Composition; meetings; duties. (a) The committee
shall convene a council composed of the chair of the committee or his or her designee and
the commissioner or the commissioner's designee of each department of state government that
administers services to children, youth, and their families, including, but not limited to,
the Department of Education, the Department of Human Resources, the Department of Mental Health,
the Department of Public Health, the Medicaid Agency, the Department of Youth Services, the
Department of Rehabilitation Services, one member from the Alabama Association of County Directors
of Human Resources appointed by that organization, one member from the Alabama Residential
Child Care Association appointed by that organization, two members from the Alabama Foster
Parent Association appointed by that organization, one member from the Juvenile Court Judges
Association appointed by that organization, one guardian ad litem...
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22-21-27
Section 22-21-27 Advisory board. (a) There shall be an advisory board of 17 members
to assist in the establishment of rules, regulations, and standards necessary to carry out
this article and to serve as consultants to the State Health Officer. The board shall meet
at least twice each year and at the call of the State Health Officer. The board may meet by
electronic means in compliance with the Alabama Open Meetings Act and shall establish rules
of procedure for its meetings. The members of the board shall annually elect one of its members
to serve as chair. (b) The advisory board shall be constituted in the following manner: (1)
Four representatives of hospitals who shall be appointed by the Board of Trustees of the Alabama
Hospital Association as follows: a. One administrator of a governmental hospital. b. One administrator
of a nongovernmental nonprofit hospital. c. One owner or administrator of a proprietary hospital.
d. One member of a managing board of a nonprofit hospital. (2)...
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22-5B-5
Section 22-5B-5 Alabama Lifespan Respite Coalition. (a) There is created the Alabama
Lifespan Respite Coalition composed of members who shall be culturally, economically, and
geographically diverse and representative of the state demographics and appointed by the Governor
or his or her designee. The membership may include, but is not limited to, the following:
(1) The Chair of the House Ways and Means Committee on Education. (2) The Chair of the Senate
Judiciary Committee. (3) The Chair of the House of Representatives Health Committee. (4) The
Chair of the Senate Health Committee. (5) A member from the Governor's Office on Disability.
(6) A member from the Department of Senior Services. (7) A member from the Department of Medicaid.
(8) A member from the Department of Rehabilitation Services. (9) A member from the Department
of Human Resources. (10) A member from the Alabama Health Department. (11) A member from the
Department of Child Abuse and Neglect Prevention. (12) A member from...
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