11733.
(a) Commencing with the 2021–22 fiscal year, and for each fiscal year thereafter, the department, in consultation with the California State Board of Pharmacy, shall calculate the ratable share of a manufacturer or wholesaler that is subject to Section 11732, according to all of the following steps:(1) The total number of morphine milligram equivalents (MMEs) attributed to opioid drugs sold or distributed in this state by the manufacturer or wholesaler for the preceding fiscal year, as reported pursuant to Section 11732, shall be divided by the total number of MMEs attributed to opioid drugs sold or distributed in this state by all manufacturers and wholesalers subject to this division for the preceding fiscal year, in order to determine the payment percentage for the manufacturer or wholesaler.
(2) The payment percentage shall be multiplied by the opioid stewardship payment, as described in Section 11734.
(3) The product of the calculation described in paragraph (2) shall be the manufacturer’s or wholesaler’s ratable share.
(4) For purposes of the calculation of the ratable share, the total number of MMEs attributed to opioid drugs sold or distributed by a manufacturer or wholesaler shall not include any of the following:
(A) The number of MMEs attributed to opioid drugs that are manufactured in this state but the final point of delivery or sale of which is outside this state.
(B) The number of MMEs attributed to buprenorphine, methadone, or morphine.
(C) The number of MMEs attributed to opioid drugs that would be prescribed for hospice care, palliative care, cancer treatment, or treatment for a terminal illness.
(5) For purposes of the calculation of the ratable share, opioid drugs sold or distributed in this state shall not be double-counted. For purposes of paragraph (1), the total number of MMEs attributed to opioid drugs sold or distributed by a wholesaler shall not include the number of MMEs attributed to opioid drugs that a manufacturer has sold or distributed in this state. Those opioid drugs shall be counted only for the calculation of the manufacturer’s ratable share.
(b) The department shall notify the manufacturer or wholesaler, in writing, of the value of the ratable share for that manufacturer or wholesaler.
(c) In any fiscal year for which the department determines that a manufacturer or wholesaler that is subject to Section 11732 failed to report information required pursuant to Section 11732, the department shall estimate, based on available data, the number of MMEs attributed to opioid drugs sold or distributed by that manufacturer or wholesaler, and the other manufacturers and wholesalers complying with this division shall receive a decreased assessment of their corresponding ratable share in the following fiscal year, with the decrease equaling the amount that was overpaid by that compliant manufacturer or wholesaler in the current fiscal year.
(d) (1) The manufacturer or wholesaler shall have the opportunity to appeal the ratable share determination by submitting information to the department explaining why the ratable share determined pursuant to this section is erroneous or otherwise not warranted.
(2) Upon receipt of the information described in paragraph (1), if the department determines that all or a portion of the ratable share is not warranted, the department may do one of the following:
(A) Adjust the ratable share if the payment has not yet been made.
(B) Adjust the assessment of the ratable share in the following fiscal year by decreasing the ratable share by the amount that was overpaid in the current fiscal year.
(C) Refund the amount that was overpaid.