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CHAPTER 67:16:14

PRESCRIPTION DRUGS

Section

67:16:14:01        Definitions.

67:16:14:02        Repealed.

67:16:14:02.01   PHS provider identification number.

67:16:14:03        Repealed.

67:16:14:04        Items and services covered.

67:16:14:05        Items and services not covered.

67:16:14:06        Payment for items dispensed by pharmacy.

67:16:14:06.01   Repealed.

67:16:14:06.02   State MAC list.

67:16:14:06.03   Dispensing fee for maintenance drugs.

67:16:14:06.04   Payment of container costs for drugs dispensed under unit dose system.

67:16:14:06.05   Prescriptions for family planning items.

67:16:14:06.06   Payment for drugs dispensed by physician.

67:16:14:06.07   Repealed.

67:16:14:06.08   Repealed.

67:16:14:06.09   Payment for items dispensed by PHS provider.

67:16:14:06.10   Coverage limits -- Growth hormones.

67:16:14:06.11   Required use of tamper-resistant prescriptions.

67:16:14:07        Repealed.

67:16:14:08        Utilization review.

67:16:14:09        Repealed.

67:16:14:10        Repealed.

67:16:14:11        Repealed.

67:16:14:12        Repealed.

67:16:14:13        Billing requirements.

67:16:14:14        Claim requirements.

67:16:14:15        Application of other chapters.

67:16:14:16        Over-the-counter items covered.

67:16:14:17        Drug review by P and T committee.

67:16:14:18        Prior authorization for certain prescription drugs.

67:16:14:19        P and T committee to make recommendations to department.

67:16:14:20        Notice to interested parties before drug placed on list -- Opportunity for interested parties to present data, opinions, and arguments.

67:16:14:21        Notice to providers when drug is to be placed on list.

67:16:14:22        Cost of drug not covered if substitution not made or prior authorization obtained.

67:16:14:23        Emergency supplies.

67:16:14:24        Appeal process.


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