Utah Admin. Code 590-287-5

Current through Bulletin 2024-20, October 15, 2024
Section R590-287-5 - WAC History

The reported WA C history shall include the following information:

(1) the name of the manufacturer;
(2) the drug product's NDC;
(3) a description of the drug product that includes the;
(a) name;
(b) strength;
(c) dosage form; and
(d) package size;
(4) the FDA classification of the drug product as brand or generic;
(5) the effective date of the WA C increase for the drug product;
(6) the amount of the WA C increase for the drug product;
(7) the WAC resulting from the reported cost increase for the drug product;
(8) the WAC one calendar year prior to the effective date of the reported cost increase of the drug product;
(9) the WA C two calendar years prior to the effective date of the reported cost increase of the drug product;
(10) a written description, suitable for public release, of the factors that led to the increase in the WA C of the drug product and the significance of each factor; and
(11) the manufacturer's aggregate company-wide research and development costs for the most recent year for which final audit data is available.

Utah Admin. Code R590-287-5

Adopted by Utah State Bulletin Number 2022-11, effective 5/11/2022