Cost Transparency Rx
Register for Rx Purchaser Notifications
Register to receive 60-day advance notice of a specified increase in the wholesale acquisition cost of a prescription drug from prescription drug manufacturers.
Current List of Registered Rx Purchasers
Download the list of registered prescription drug purchasers for the purpose of 60-day advance notice of a specified increase in the wholesale acquisition cost of a prescription drug, as required by Senate Bill 17. This list will be updated weekly or as needed to include all current registrants.
SB 17 Overview
Senate Bill (SB) 17 (Chapter 603, Statutes of 2017)
The implementation plan outlined below describes the provisions of SB 17 involving OSHPD. There are also provisions that will be implemented by the Department of Managed Health Care and the California Department of Insurance.
Beginning January 1, 2018, SB 17 requires OSHPD to make available a registry of public and private purchasers for purposes of the 60-day advance notice requirement for specified increases in the wholesale acquisition cost of a prescription drug. Public and private purchasers may register with OSHPD beginning December 1, 2017 on this website.
Beginning January 1, 2019, drug manufacturers must notify OSHPD within three days of introducing a new drug at a wholesale acquisition cost that exceeds the specified threshold. Within 30 days of this notification, manufacturers must submit additional information to OSHPD. OSHPD will publish this information on its website quarterly.
Beginning after January 1, 2019, drug manufacturers are required to submit to OSHPD information on the rationale for cost increases for existing drugs that fall under the reporting requirement. OSHPD will collect this information beginning April 2019 and publish on its website within 60 days of receipt from each manufacturer on a quarterly basis.
Projected Time Period
|April 11, 2018||Conduct public workshop with data submitters.|
|July 2018||Open rulemaking period and conduct public forum for comment.|
|September - December 2018||Release preliminary information reporting requirements and information collection format to drug manufacturers and share with stakeholders.|
|January 1, 2019||Formally adopt regulations.|
|January 2019||Begin collecting information related to new prescription drugs from drug manufacturers. OSHPD to publish this information quarterly on its website beginning Spring 2019.|
|April 2019||Begin collecting first quarter 2019 prescription drug cost increase information for existing drugs from drug manufacturers.|
|By June 2019||Publish first quarter 2019 drug cost increase information for existing drugs on OSHPD website.|
|Data User Workshop||March 15th, 2018
|2020 West El Camino Avenue
Sacramento, CA 95833
User Story Template
|Data Submitter Workshop||April 11th, 2018||2020 West El Camino Avenue
Sacramento, CA 95833
OSHPD conducted a workshop on March 15th, 2018 focused on eliciting feedback from data users on the information OSHPD will publish per the provisions of SB 17. The materials from the data user workshop are available on this webpage.
OSHPD will conduct a second workshop, focused on soliciting feedback from data submitters required to provide information to OSHPD, pursuant to the provisions of SB 17, on April 11th, 2018, at OSHPD's Sacramento office. Further details will be sent to the CTRx informational mailing list ahead of the meeting. An agenda and full set of materials will be posted to this webpage.
Pursuant to the Americans with Disabilities Act, reasonable accommodation requests may be directed at least five (5) working days in advance of this event to Adrienne Starkey at 916-326-3684 or Adrienne.Starkey@oshpd.ca.gov.
What is Senate Bill 17?
SB 17 (Hernandez, Statutes of 2017) seeks to increase prescription drug cost transparency by:
- Requiring advance notification to public and private purchasers before a significant prescription drug wholesale acquisition cost increase occurs, and making public certain information associated with the increase.
- Requiring the provision of information about the impact to health care plans and insurers of cost increases.
What is happening now?
Drug manufacturers must now provide notice to specified purchasers 60 days in advance of the planned effective date of an increase in the wholesale acquisition cost of certain prescription drugs when that increase is greater than 16%, including the proposed increases and the cumulative increases that occurred within the previous two calendar years prior to the current year. In 2019, manufacturers must provide additional information to the Office of Statewide Health Planning and Development (OSHPD) after raising the WAC of a prescription drug above a certain level, and must provide information regarding new prescription drugs introduced to market above a specified wholesale acquisition cost threshold. OSHPD will publish this information quarterly on its website.
What is OSHPD's publishing schedule?
OSHPD will publish quarterly on its website information from drug manufacturers related to new prescription drugs beginning in spring of 2019. Beginning in June of 2019, OSHPD will publish quarterly on its website prescription drug WAC increase information for existing prescription drugs.
Are prescription drug purchasers required to register with OSHPD?
No. Registration is purely voluntary. However, specified prescription drug purchasers must register with OSHPD in order to receive advance notice of specified prescription drug wholesale acquisition cost increases.
I reimburse prescription drug manufacturers, but I am not a direct purchaser. Am I eligible to register for advance notice?
Yes. State purchasers, licensed health care service plans, health insurers holding a valid outstanding certificate of authority from the Insurance Commissioner, and pharmacy benefit managers as defined in subdivision (j) of Section 4430 of the Business and Professions Code that purchase or reimburse for prescription drugs are eligible to register for advance notice from manufacturers.
- Will OSHPD issue regulations regarding the purchaser registration and manufacturer advance notice?
Does a prescription drug manufacturer need to report to OSHPD all cost increases for a given quarter in a one-time report? Is there an indefinite quarterly reporting requirement for each drug cost increase above the specified threshold?
Specific prescription drug cost increase reporting requirements will be addressed during the outreach and rulemaking process. OSHPD welcomes and encourages stakeholder participation throughout the process of developing regulations for SB 17.
When must manufacturers begin notifying OSHPD of introduction of a new prescription drug to market at a wholesale acquisition cost exceeding the threshold set for a specialty drug under the Medicare Part D program?
The new drug reporting requirements of SB 17 take effect January 1, 2019.
When does OSHPD plan to make available a form for manufacturers to report required cost increase and new drug information to OSHPD?
The format for reporting prescription drug cost increase and new drug information to OSHPD will be addressed during the outreach and rulemaking process. OSHPD anticipates that it will make available to manufacturers the prescribed format on or before January 1, 2019. OSHPD welcomes and encourages stakeholder participation throughout the process of developing regulations for SB 17.
I am aware that there is an active lawsuit challenging the constitutionality of SB 17. Do I need to comply with SB 17 while the lawsuit is active?
Yes. Unless a court issues an order preventing OSHPD from implementing SB 17, you must comply with law. No order is in place at the present time.
This page was last updated on Monday, March 12, 2018.