Rule: 836-200-0505, 836-200-0515, 836-200-0520, 836-200-0530, 836-200-0531, 836-200-0532, 836-200-0533, 836-200-0535, 836-200-0545, 836-200-0555
Rule summary: In addition to updating the rules to reflect the 2025 court decision, the department also clarified requirements, updated a reporting threshold, and added minor data collection points to allow program staff to verify accurate reporting. The proposed changes to the rules include:
- Adding a clarifying definition for “drug;”
- Correction of internal references;
- Reverting annual price increase reporting from voluntary to mandatory per court judgment;
- Clarifying language about the timing of data reporting;
- Adding examples of factors that may contribute to price increases;
- Updating the threshold for reporting new prescription drugs; and,
- Adding minor data collection points to allow for DPT program staff verification.
Filed: 9/24/2026
Effective: 10/1/2026
Documents: