Louisiana Revised Statutes Tit. 46, § 460.36. Pharmacy reimbursement by managed care organizations

(a) The published Medicaid fee-for-service reimbursement rate for the combination of the ingredient cost and dispensing fee in use for the current approved Medicaid state plan in effect on the date of service.

(b) The usual and customary charge. This charge shall be the price the provider most frequently charges the general public for the same drug unless otherwise defined in the current approved Medicaid state plan in effect on the date of service.

(c) The pharmacy's submitted charge.

(a) Contracts with the managed care organization or the managed care organization's contractor in its own name or through a pharmacy services administration organization and not under the authority of a group purchasing organization.

(b) Has fewer than ten retail outlets under its corporate umbrella.