Sec. 10.18.06.05. Limitations on Covered Services

Latest version.

A. A pharmacist may not dispense more than a 100-day supply of a prescribed drug or other product.

B. The Department may not pay for:

(1) A drug or other product prescribed as part of a recipients care in a correctional institution, inpatient hospital, nursing home, or long-term care setting; or

(2) Drugs or other products excluded from the open formulary, unless the:

(a) Recipient has submitted the completed preauthorization request form to the Department; and

(b) The Department has approved the request.

                    
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