Document ID: chunk:federal_register_of_legislation:F2024C00583:reg:3
Version: federal_register_of_legislation:F2024C00583
Segment Type: reg
Provision Reference: reg 3
Character Range: 17493–18961

3         > $2 000                                   $95.00 + Tier 1 AHI Fee

 (b) if the pack quantity for which an administration, handling and infrastructure fee is to be calculated under this section is not equal to a maximum quantity of the pharmaceutical benefit, the administration, handling and infrastructure fee is calculated as follows:
 (i) calculate the price to pharmacists for the maximum quantity by applying the following formula:

             PTP for PQ  x  (MQ/PQ)

  where:
               PTP for PQ is the price to pharmacists for the pack quantity (calculated in section 11);
           PQ is the pack quantity; and
  MQ is the maximum quantity;
 (ii)  if the administration, handling and infrastructure fee that would apply to the maximum quantity is shown in the table in paragraph (a) as a monetary amount—the administration, handling and infrastructure fee for the pack quantity is that monetary amount reduced proportionately for the relative quantities; and
 (iii) if the administration, handling and infrastructure fee that would apply to the maximum quantity is shown in the table in paragraph (a) as a monetary amount and a percentage of the price to pharmacists—the monetary amount of the administration, handling and infrastructure fee for the pack quantity will be adjusted proportionately for the relative quantity and the percentage will be 5% of the amount by which the price to pharmacists for the pack quantity exceeds $100.