This bill amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to add standards for drug compendia used by physicians with respect to payment for certain drugs under the Medicare and Medicaid programs.
Specifically, such compendia shall include compendia that, as determined by the Centers for Medicare & Medicaid Services: (1) are used by health care providers and utilized nationwide by the health insurance industry; (2) have a publicly available policy on disclosures of conflicts of interest; (3) use an international, widely recognized standard to evaluate clinical evidence for inclusion; and (4) are accepted by at least one state board of pharmacy or equivalent licensing body.