Utah Pharmacy Drug Information
Prescription Drug Price Transparency Act
Utah Code 31A-48-103 requires the Utah Insurance Department to collect pharmacy drug information from drug manufacturers and health insurers operating in Utah.
Pharmacy drug manufacturers
As required by Utah Code 31A-48-103(1), drug manufacturers that are manufacturing a drug available for purchase by Utah residents with a wholesale acquisition cost of at least $100 or more for a 30-day supply are required to submit to the Department the information described in 31A-48-103(1) and Utah Admin. Code R590-287 when an increase in the wholesale acquisition cost of the drug is 1) greater than 16 percent over the preceding two calendar years, or 2) greater than 10 percent of the preceding calendar year.
For drug manufacturers, to review information on how to register with the Department, to get the UID Pharmacy Web Portal User Guide, and to submit drug transparency reports through the UID Pharmacy Web Portal, click here.
Health insurers
As required by Utah Code 31A-48-103(2), health insurers offering health benefit plans in Utah are required to report to the Department the following information by August 1 of each year:
- the 25 drugs for which spending by the health insurer was the greatest, after adjusting for rebates;
- the percentage increase over the previous year in net spending for all drugs, after adjusting for rebates; and
- the percentage of the increase in premiums over the previous year attributable to all drugs and specialty drugs.
The Department is required to publish this information on the Department’s website by December 1 each year and in a manner that protects the identity of a health insurer.
Health insurer information
Utah Code 31-48-103(2) requires the Utah Insurance Department to collect pharmacy drug information from health insurers offering health benefit plans in Utah.
Health insurers
As required by Utah Code 31A-48-103(2), health insurers offering health benefit plans in Utah are required to report to the Department the following information by August 1 of each year: 1) the 25 drugs for which spending by the health insurer was the greatest, after adjusting for rebates; 2) the percentage increase over the previous year in net spending for all drugs, after adjusting for rebates; and 3) the percentage of the increase in premiums over the previous year attributable to all drugs and specialty drugs. The Department is required to publish this information on the Department’s website by December 1 each year and in a manner that protects the identity of a health insurer.
Below is a list of the summary reports of the information submitted to the Department by health insurers.
Pharmacy Premium Impact Reports by year:
- View and download Pharmacy Premium Impact Reports in our Reports Database.
Pharmacy drug manufacturer information
Utah Code 31-48-103(1) requires the Utah Insurance Department to collect pharmacy drug information from drug manufacturers selling a drug in Utah.
Pharmacy drug manufacturers
As required by Utah Code 31A-48-103(1), drug manufacturers that are manufacturing a drug available for purchase by Utah residents with a wholesale acquisition cost of at least $100 or more for a 30-day supply are required to submit to the Department the information described in 31A-48-103(1)- and Utah Admin. Code R590-287 when an increase in the wholesale acquisition cost of the drug is 1) greater than 16 percent over the preceding two calendar years, or 2) greater than 10 percent of the preceding calendar year.
Drug Transparency Reports by month:
- View and download Drug Transparency Reports in our Reports Database.
Pharmacy drug manufacturer reporting requirements
Statutory requirements
As required by Utah Code 31A-48-103(1), drug manufacturers that are manufacturing a drug available for purchase by Utah residents with a wholesale acquisition cost of at least $100 or more for a 30-day supply are required to submit to the Utah Insurance Department the information described in 31A-48-103(1) and Utah Admin. Code R590-287 when an increase in the wholesale acquisition cost of the drug is 1) greater than 16 percent over the preceding two calendar years, or 2) greater than 10 percent of the preceding calendar year.
How to register with the Department
As defined in Utah Code 31A-48-102(3), “manufacturer” means a person that is engaged in the manufacturing of a drug that is available for purchase by residents of the state.
As required by Bulletin 2020-10(b), to facilitate communication with pharmacy drug manufacturers and the Department, pharmacy drug manufacturers should register with the UID. Use the registration form available from the link below.
How to use the UID Pharmacy Web Portal to submit drug transparency reports
The Department has developed a web portal to provide a secure reporting process for receiving drug transparency reports.
The UID Pharmacy Web Portal is available at http://pharma.utah.gov.
The Department has created a user guide, with step by step instructions, that explain how to create an account, register your company, and upload the required information. Use the UID Pharmacy Web Portal User Guide available from the link below.