Drug Price Transparency Manufacturer Data Submission Guide version 2.0
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(iii) Has a wholesale acquisition cost of more than one hundred dollars for a course of treatment
lasting less than one month or a thirty-day supply, and, taking into account only price increases that
take effect after July 28, 2019, the manufacturer increases the wholesale acquisition cost such that:
(A) The new wholesale acquisition cost is twenty percent higher than the wholesale
acquisition cost on the same day of the month, twelve months before the date of the
proposed increase; or
(B) The new wholesale acquisition cost is fifty percent higher than the wholesale acquisition
cost on the same day of the month, thirty-six months before the date of the proposed
increase.
"Covered manufacturer" means a person, corporation or other entity engaged in the manufacture of prescription
drugs sold in or into Washington state. "Covered manufacturer" does not include a private label distributor or retail
pharmacy that sells a drug under the retail pharmacy's store label, or a prescription drug repackager.
"Data" means all data provided to the authority under RCW 43.71C.020 through 43.71C.080 and any analysis
prepared by the authority.
"Data submission guide" means the document that identifies the required data to be reported under RCW 43.71C,
and provides instructions for submitting this data to the authority, including guidance on required format.
"Food and drug administration (FDA) approval date" means the deadline for the FDA to review applications for new
drugs or new biologics after the new drug application or biologic application is accepted by the FDA as complete in
accordance with the Prescription Drug User Fee Act of 1992 (106 Stat. 4491; P.L. 102-571).
"Introduced to market" means marketed in Washington State.
"Pipeline drug" means a drug or biologic product containing a new molecular entity, not yet approved by the Food
and Drug Administration, for which a manufacturer intends to seek initial approval from the Food and Drug
Administration under an original new drug application under 21 U.S.C. Sec. 355(b) or under a biologics license
application under 42 U.S.C. Sec. 262 to be marketed in Washington State.
"Prescription drug" means a drug regulated under chapter 69.41 or 69.50 RCW, including generic, brand, specialty,
and biological products that are prescribed for outpatient use and distributed in a retail setting.
"Rebate" means negotiated price concessions, discounts, however characterized, that accrue directly or indirectly to
a reporting entity in connection with utilization of prescription drugs by reporting entity members including, but is
not limited to, rebates, administrative fees, market share rebates, price protection rebates, performance-based price
concessions, volume-related rebates, other credits, and any other negotiated price concessions or discounts that are
reasonably anticipated to be passed through to a reporting entity during a coverage year, and any other form of price
concession prearranged with a covered manufacturer, dispensing pharmacy, pharmacy benefit manager, rebate
aggregator, group purchasing organization, or other party which are paid to a reporting entity and are directly
attributable to the utilization of certain drugs by reporting entity members.
"Reporting entity" means carriers, covered manufacturers, health carriers, health plans, pharmacy benefit managers,
and pharmacy services administrative organizations, which are required to or voluntarily submit data according to
chapter 43.71C RCW.
"Wholesale acquisition cost" means, with respect to a prescription drug, the manufacturer's list price for the drug to
wholesalers or direct purchasers in the United States, excluding any discounts, rebates, or reductions in price, for the
most recent month for which the information is available, as reported in wholesale acquisition cost guides or other
publications of prescription drug pricing.