Use of brief adjudicative proceedings for appeals by network pharmacies to the commissioner.
The commissioner has adopted the procedure for brief adjudicative proceedings provided in RCW
34.05.482 through
34.05.494 for actions involving a network pharmacy's appeal of a pharmacy benefit manager's reimbursement for a drug subject to predetermined reimbursement costs for multisource generic drugs (reimbursement). WAC
284-180-500 through
284-180-540 describe the procedures for how the commissioner processes a network pharmacy's appeal (second tier appeal) of the pharmacy benefit manager's decision in the first tier appeal through a brief adjudicative proceeding.
This rule does not apply to adjudicative proceedings under WAC
284-02-070, including converted brief adjudicative proceedings.
[Statutory Authority: RCW
48.02.060,
48.200.280(6),
34.05.485 (1)(c), and
48.02.100. WSR 22-23-069 (Matter R 2022-07), § 284-180-515, filed 11/10/22, effective 12/11/22. Statutory Authority: RCW
48.02.060 and
48.200.900. WSR 21-02-034, amended and recodified as § 284-180-515, filed 12/29/20, effective 1/1/22. Statutory Authority: RCW
48.02.060,
19.340.010,
19.340.030,
19.340.100,
19.340.110, and 2016 c 210 §§ 1 and 2 through 7. WSR 17-01-139 (Matter No. R 2016-07), § 284-180-410, filed 12/20/16, effective 1/1/17.]