Section 252. Procedures for determinations relating to package, or form of dosage or administration, of certain drugs  


Latest version.
  • 1.  If  the  department  of
      health makes an initial determination that a particular package, or form
      of  dosage  or administration, of a drug shall be excluded in accordance
      with the provisions of paragraph (b) of subdivision one of  section  two
      hundred  forty-one  of this title, the executive department shall notify
      the manufacturer of such drug  product  that  the  executive  department
      intends  to  seek  the  exclusion  of such package, or form of dosage or
      administration, from the program and  shall  provide  such  manufacturer
      with  the  reasons therefor together with the facts which the department
      relies upon to support its initial determination. The manufacturer shall
      have fifteen days after receiving such exclusion notice  to  notify  the
      executive  department  of  an  intent  to  appeal  the  decision. If the
      manufacturer fails to notify the executive department of  an  intent  to
      appeal  within  the  time specified in this section, the commissioner of
      health shall forthwith determine whether the package, or form of  dosage
      or   administration,   shall  be  excluded  from  the  program.  If  the
      manufacturer notifies the executive department of an intent  to  appeal,
      the  manufacturer  shall  submit  to  the  executive  department  within
      forty-five days of receiving such exclusion notice,  the  basis  of  the
      manufacturer's  appeal. Within fifteen days of receiving such submission
      from the manufacturer, the executive department  shall  provide  to  the
      manufacturer  any  additional facts concerning the drug product that the
      department relies upon to support its initial determination. Within  ten
      days  of  receiving  such  facts, the manufacturer may submit additional
      facts concerning the drug package, or form of dosage or  administration.
      Based  on the facts submitted pursuant to this section, the commissioner
      of health shall make a  final  determination,  in  accordance  with  the
      standard  set  forth  in paragraph (b) of subdivision one of section two
      hundred forty-one of this title, as to whether the package, or  form  of
      dosage or administration, of the drug product shall constitute a covered
      drug  for  the  purposes of this article. A determination to exclude the
      drug package, or form of dosage or administration, shall be  subject  to
      judicial  review pursuant to article seventy-eight of the civil practice
      law and rules.
        2. The  commissioner  of  health  shall  establish  by  regulation  an
      appropriate  process  allowing  drug  packages,  or  forms  of dosage or
      administration, finally determined under this section not to be  covered
      drugs  for  the  purposes  of  this  title  to  be  dispensed to program
      participants for  whom  such  drug  packages,  or  forms  of  dosage  or
      administration,  are  medically indicated as certified to by a physician
      treating such participant. Any such drug package, or form of  dosage  or
      administration,  so  certified  as  medically  indicated  for a specific
      participant in accordance with such regulations shall be a covered  drug
      for the purpose of this title.