<html> <head> <meta name=Generator content="Microsoft Office HTML Filter 2.0"> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <style> <!-- --> </style> </head> <body lang=EN-US> <div> <p align=center><a name="_GoBack"></a><b>CHAPTER 67:16:14</b></p> <p align=center><b>PRESCRIPTION DRUGS</b></p> <p>Section</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:01">67:16:14:01</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Definitions.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:02">67:16:14:02</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:02.01">67:16:14:02.01</a>&nbsp;&nbsp; PHS provider identification number.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:03">67:16:14:03</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:04">67:16:14:04</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Items and services covered.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:05">67:16:14:05</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Items and services not covered.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:06">67:16:14:06</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Payment for items dispensed by pharmacy.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:06.01">67:16:14:06.01</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:06.02">67:16:14:06.02</a>&nbsp;&nbsp; State MAC list.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:06.03">67:16:14:06.03</a>&nbsp;&nbsp; Dispensing fee for maintenance drugs.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:06.04">67:16:14:06.04</a>&nbsp;&nbsp; Payment of container costs for drugs dispensed under unit dose system.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:06.05">67:16:14:06.05</a>&nbsp;&nbsp; Prescriptions for family planning items.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:06.06">67:16:14:06.06</a>&nbsp;&nbsp; Payment for drugs dispensed by physician.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:06.07">67:16:14:06.07</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:06.08">67:16:14:06.08</a>&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:06.09">67:16:14:06.09</a>&nbsp;&nbsp; Payment for items dispensed by PHS provider.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:06.10">67:16:14:06.10</a>&nbsp;&nbsp; Coverage limits -- Growth hormones.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:06.11">67:16:14:06.11</a>&nbsp;&nbsp; Required use of tamper-resistant prescriptions.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:07">67:16:14:07</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:08">67:16:14:08</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Utilization review.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:09">67:16:14:09</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:10">67:16:14:10</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:11">67:16:14:11</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:12">67:16:14:12</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Repealed.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:13">67:16:14:13</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Billing requirements.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:14">67:16:14:14</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Claim requirements.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:15">67:16:14:15</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Application of other chapters.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:16">67:16:14:16</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Over-the-counter items covered.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:17">67:16:14:17</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Drug review by P and T committee.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:18">67:16:14:18</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Prior authorization for certain prescription drugs.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:19">67:16:14:19</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; P and T committee to make recommendations to department.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:20">67:16:14:20</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Notice to interested parties before drug placed on list -- Opportunity for interested parties to present data, opinions, and arguments.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:21">67:16:14:21</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Notice to providers when drug is to be placed on list.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:22">67:16:14:22</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Cost of drug not covered if substitution not made or prior authorization obtained.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:23">67:16:14:23</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Emergency supplies.</p> <p><a href="DisplayRule.aspx?Rule=67:16:14:24">67:16:14:24</a>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Appeal process.</p> </div> </body> </html>