Sec. 10.18.06.03. Conditions for Participation

A. To participate in MADAP, a pharmacy shall:

(1) Be enrolled in Medical Assistance, be a mail order company that accepts payments from the Department, or submit a request for exception to, and receive approval from, the Department;

(2) Accept payment by the Department as payment in full for the professional services rendered and make no additional charges to the recipient or the recipient’s family;

(3) Maintain records in accordance with standards established by Medical Assistance;

(4) Maintain prescriptions for a minimum of 5 years and make them available for inspection, upon request, to the Department or its designee;

(5) Provide services without regard to race, color, creed, age, sex, sexual orientation, gender identity, national origin, marital status, or disability; and

(6) Bill the recipient’s third-party insurance payer in accordance with the payer’s requirements in order to reduce the cost to be paid by the Department.

B. A pharmacy may not:

(1) Knowingly employ a person who has been disqualified from Medical Assistance; or

(2) Place a restriction on a recipient’s right to select a pharmacy of the recipient’s choice.