Prescription Drug Coverage

(a)The following drug prescriptions shall be covered:

(1)Out-patients prescribed drugs are provided in accordance with the Drug Formulary. CH. 2 DIVISION OF PUBLIC WELFARE

(2)Medically Indigent Program clients will have to pay a Two Dollars and Fifty Cents ($2.50) co-payment charge per prescription filled and shall be limited to generic brand items. Those with cost sharing liabilities shall pay the required co-payment charge plus their cost sharing liability.

(3)Pharmaceutical prescriptions, with the exception of birth control prescriptions, dispensed for ninety

(90)days are limited to a thirty

(30)day supply at one

(1)time.

(b)Prescription Drug Services Not Covered. The following prescription drug benefits shall not be covered under the Medically Indigent Program:

(1)drugs not listed in the established formulary and requested with justification for consideration;

(2)over-the-counter drugs not listed in the established MIP formulary; and

(3)experimental drugs, unless approved by the Administrator.

(c)Limitations and Exclusions. All prescription drug benefits are subject to the stated benefit limitations and exclusions outlined in § 2912 through § 2913.