89 Ill. Adm. Code 1260.126.20
Definitions
TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER B: ASSISTANCE PROGRAMS
PART 126 THE ILLINOIS PRESCRIPTION DRUG DISCOUNT PROGRAM
SECTION 126.20 DEFINITIONS
Section 126.20
Definitions
The following terms have the
following meanings:
"Act"
means the Illinois Prescription Drug Discount Program Act [320 ILCS 55].
"Authorized
Pharmacy" means any pharmacy registered in this State under the Pharmacy
Practice Act of 1987 or approved by the Department of Financial and
Professional Regulation and approved by the Department or its Program
Administrator.
"AWP"
or "Average Wholesale Price" means the amount determined from the
latest publication of the Red Book, a universally subscribed pharmacist
reference guide annually published by the Hearst Corporation. AWP may also be
derived electronically from the drug pricing database synonymous with the
latest publication of the Red Book and furnished in the National Drug Data File
(NDDF) by First Data Bank (FDB), a service of the Hearst Corporation.
"Cardholder"
means an eligible Illinois citizen who has enrolled in the program.
"Citizen" means a resident of the State of Illinois.
"Covered
medication" means any medication included in the Illinois Prescription
Drug Discount Program.
"Department"
or "HFS" means the Department of Healthcare and Family Services.
"Director"
means the Director of the Department of Healthcare and Family Services.
"Drug
Manufacturer" means any entity that is located within or outside Illinois
that is engaged in:
the
production, preparation, propagation, compounding, conversion, or processing of
prescription drug products covered under the program, either directly or
indirectly by extraction from substances of natural origin, independently by
means of chemical synthesis, or by a combination of extraction and chemical
synthesis; or
the
packaging, repackaging, leveling, labeling, or distribution of prescription
drug products covered under the program and that elects to provide prescription
drugs either directly or under contract with any entity providing prescription
drug services on behalf of the State of Illinois.
Drug
manufacturer, however, does not include a wholesale distributor of drugs or a
retail pharmacy licensed under Illinois law.
"Eligible
Enrollee" means an eligible Illinois resident, with a household income
equal to or less than 300 percent of the Federal Poverty Level (FPL), and who
has paid the enrollment fee.
"Federal
Poverty Level" or "FPL" means the Federal Poverty Income
Guidelines published annually in the Federal Register.
"Income"
means household income equal to or less than 300 percent of the FPL.
"Participating
Pharmacy" means any pharmacy that complies with the requirements of the
Illinois Prescription Drug Discount Program.
"Prescription
Drug" means any prescribed drug that may be legally dispensed by an
authorized pharmacy.
"Program"
means the Illinois Rx Buying Club created under the Illinois Prescription Drug
Discount Program Act.
"Program
Administrator" means the entity that is chosen by the Department to
administer the program, consistent with the requirements of the Illinois
Prescription Drug Discount Program and this Part 126.