624212, 59G-4.250 - Florida Administrative Rules, Law, Code, Register

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Florida Department of State and Division of Library and Information Services

Notice: 624212

Notice of Proposed Rule

Department:

AGENCY FOR HEALTH CARE ADMINISTRATION

Division:

Medicaid

Chapter:

MEDICAID POLICY

Overview

RULE:

59G-4.250

Prescribed Drug Services

PURPOSE:

The purpose of this rule amendment is to incorporate by reference the Florida Medicaid Prescribed Drug Services Coverage, Limitations and Reimbursement Handbook, June 2006.  The handbook incorporates statutory changes making the Preferred Drug List mandatory and removes the four brand cap limit.  It also removes the 34-day supply limit for some maintenance drugs when identified by the P&T committee; eliminates the Silver Saver program; moves coverage of certain supplies and nutritional items to the Durable Medical Equipment program; defines the process for approval of a brand name drug when generic equivalent products are available; removes coverage for erectile dysfunction; adopts statutory ingredient cost reimbursement levels; and specifies a $7.50 dispensing fee for providers using 340b purchasing contracts.  The effect will be to incorporate by reference in the rule the Florida Medicaid Prescribed Drug Coverage, Limitations and Reimbursement Handbook.

SUMMARY:

The purpose of this rule amendment is to incorporate by reference the Florida Medicaid Prescribed Drug Services Coverage, Limitations and Reimbursement Handbook, June 2006.  The effect will be to incorporate by reference in the rule the Florida Medicaid Prescribed Drug Coverage, Limitations and Reimbursement Handbook.

RULEMAKING AUTHORITY:

409.919 FS.

LAW:

409.906, 409.908, 409.912 FS.

PRINT PUBLISH DATE:

8/25/2006 Vol. 32/34

COMMENTS:

From 8/25/2006 To 9/15/2006 (21 Days)
The public comment period for this notice has already expired.

REFERENCE MATERIALS:

No reference(s).

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