(a) The following drug prescriptions shall be covered: (1) Out-patients prescribed drugs are provided in accordance with the Drug Formulary.
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(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. SOURCE: Added by P.L. 25-163:1 (Sept. 21, 2000),repealed/reenacted by P.L. 27-030:2 (Sept. 30, 2003). 2017 NOTE: This section was originally entitled “Home Health Services.” Added by P.L. 25-163:1, and repealed by 27-030:2.