Page:United States Statutes at Large Volume 106 Part 6.djvu/408

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106 STAT. 4966 PUBLIC LAW 102-585—NOV. 4, 1992 the previous calendar quarter, unweighted and weighted (in the case of the mean percentage increase or decrease) by the dollar volume of drugs dispensed; (v) the median and mean percentage increase (or decrease) in the best price of such innovator multiple source drugs (as so reported) compared to the best price during the previous calendar quarter, unweighted and weighted (in the case of the mean percentage increase or decrease) by the dollar volume of drugs dispensed; and (vi) the median and mean percentage increase (or decrease) in the best price of all such drugs (as so reported) compared to the best price during the previous calendar quarter, unweighted and weighted (in the case of the mean percentage increase or decrease) by the dollar volume of drugs dispensed. (B) With respect to all drugs for which mcinufacturers are required to pay rebates under section 1927(c) of the Social Security Act, the Secretary's estimate, on a Stateby-State and a national aggregate basis, of— (i) the total amount of all rebates paid under such section diiring the quarter, broken down by the portions of such total amount attributable to rebates described in paragraphs (1), (2), and (3) of such section; (ii) the percentages of such total amount attributable to rebates described in paragraphs (1), (2), and (3) of such section; and (iii) the amount of the portion of such total amount attributable to the rebate described in paragraph (1) of such section that is solely attributable to the application of subclause (II) of clause (i), (ii), (iii), (iv), or (v) of such paragraph. (2) LIMITATION ON DRUGS SUBJECT TO REPORT.— NO report submitted under paragraph (1) shall include any information relating to any prescription drug unless the Secretary finds that expenditures for the drug are significant expenditures under the medicaid program. In the previous sentence, expenditures for a drug are "significant" if the drug was one of the 1,000 drugs for which the greatest amount of the Federal financial assistance attributable to prescription drugs was paid under section 1903(a) of the Social Security Act during calendar year 1991. (3) SPECIAL RULE FOR INITIAL REPORT. — For purposes of the first report required to be submitted under paragraph (1)— (A) the Secretary shall submit the report not later than May 1, 1993; and (B) the information contained in the report shall include information on prescription drugs dispensed during each calendar quarter that began on or after January 1, 1991, and ended on or before December 31, 1992. 42 USC l396r-8 (e) EFFECTIVE DATE. — The amendments made by this section "°*®' shall apply with respect to payments to State plans under title XIX of the Social Security Act for calendar quarters (or periods) beginning on or after January 1, 1993 (without regard to whether or not regulations to carry out such amendments have been promulgated by such date).