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For the purposes of this section, "pharmacy" includes a pharmacy licensed under any of the following federal statutes: Food, Drug, and Cosmetic Act the Internal Revenue Code (25 U.S.C. § 301, et seq.).
Section 2. Short title.
This subpart shall be known and may cited as the "Pharmacy Drug User Fee Amendments Act of 2013".
PART 1 — ESTABLISHMENT OF THE MEMBER CREDIT PROGRAM
Sec. 101. Establishment.
(a) The Secretary, at request of manufacturer representative, may establish a pharmacist prescription drug user fee credit program under this subpart to provide reimbursement pharmacies for prescriptions filled by, or the personal use of, individuals entitled to or eligible for the pharmacist prescription drug user fee under title XVIII of the Social Security Act (subtitle A of title XVIII Public Law 99–616).
(b) The Secretary may accept an application from a manufacturer representative submitted under section 100(b) or from a pharmacy that submitted an application under section 100(b)(1) to participate in the program under this subpart.
Sec. 102. Definitions.
For purposes of this subpart—
(a) the term "administrator" represents Administrator of the Health Care Financing Administration; and
(b) except as expressly provided in this title, the term "medicare pharmacy" means any entity that is required to be licensed under part A or D of title VII as a supplier and is also licensed as a pharmacy under part C of title VII and is licensed as a pharmacy under part D.
Sec. 103. Pilot program. (a) The Secretary shall establish a pilot program to test the efficacy and effectiveness of a pharmacist prescription drug user fee credit program under this subpart Tamoxifen 20mg $176.47 - $0.65 Per pill only with respect to the cost of brand-name drugs, as defined in section 1927(k) of the Social Security Act (42 U.S.C. 1396r–7(k)), that are sold by pharmacies.
(b) The Secretary shall publish results of the pilot program under this section in the Federal Register.
SEC. 104. Establishment of programs and reimbursement.
Part 1 of subtitle B title II the Health Care Financing Administration Act of 1986 (42 U.S.C. 1395qq et seq.) is amended by adding at the end following:
"SEC. 227. Pharmacy user fee credit programs.
"The Secretary may establish a program under the Health Care Financing Administration Act of 1986 to reimburse pharmacies for the cost of prescriptions filled by individuals entitled to a pharmacy user fee under title XVIII of the Social Security Act (subtitle A of title XVIII Public Law 99–616) or the Medicare prescription drug program established under title XVIII of such Act (subtitle B title XVIII of Public Law 99–616).
"SEC. 228. Application tamoxifeno venda online to qualifying hospitals.
"The Secretary may establish a program under the Health Care Financing Administration Act of 1986 to reimburse hospitals for the cost of prescriptions Buying generic viagra online filled by individuals Buying lexapro in mexico entitled to a hospital user fee under title XVIII of the Social Security Act (subtitle A of title XVIII Public Law 99–616), or the Medicare prescription drug program established under title XVIII of such Act (subtitle B title XVIII of Public Law 99–616).
"SEC. 229. Program of research; reporting; use payments by Secretary.
"(a) Program of research.—
"(1) REQUIREMENTS.—The Secretary, acting through the Administrator of Health Care Financing Administration, shall conduct a comprehensive research and evaluation of the following:
"(A) The extent of use pharmacy user fee credit in reducing prescription drug costs through a reduction in total retail spending, including prescription drug sales price, average retail cost, and drug expenditure.
"(B) The effect of using pharmacy user fee credit on the financial stability of retail pharmacies.
"(C) The impact of using pharmacy user fee credit on prescription drug availability and access for individuals entitled to the prescription drug program under title XVIII of the Social Security Act (subtitle A of title XVIII Public Law 99–616).
"(D) Such other information as the Secretary determines appropriate.
"(2) USE OF PAYMENTS BY SECRETARY.—The Secretary may use specified payments from the national pharmaceutical agent program under section 1854(h) to carry out this subsection.
"(b) Payment structure.—
"(1) IN GENERAL.—The Secretary shall establish a formula—
"(A) that calculates based on the national average pharmacy user fee credit rate, the price per dosage unit of the eligible controlled drug or device with respect to which a generic drug or brand-name are included"
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