2701.1 A provider of pharmacy services shall be a licensed pharmacy. To participate in the District of Columbia's Medicaid Program, the provider shall:

(a) Fully comply with any applicable District, state and federal laws or regulations governing the provision and reimbursement of pharmacy services; and

(b) Complete and sign the Medicaid Provider Agreement.

2701.2 As a condition of participation, the provider shall be required to comply with the following requirements:

(a) Perform prospective drug utilization review before dispensing each prescription. This shall include screenings for, but not limited to, the following:

(1) Therapeutic duplication;

(2) Drug-disease contraindications;

(3) Drug interactions;

(4) Incorrect dosage indication, or duration;

(5) Drug allergies; and

(6) Abuse or misuse;

(b) Provide patient counseling on all matters which, in the provider's professional judgment, shall be deemed significant, including:

(1) Name and/or description of the medication;

(2) Route, dosage form, and duration of therapy;

(3) Directions for use;

(4) Common side effects;

(5) Potential adverse reactions, contraindications;

(6) Storage; and

(7) Refill information;

(c) Obtain, record, and maintain patient profiles including the following:

(1) Name, address, phone number, age and gender;

(2) Individual history (i.e., diseases, allergies, drug reactions);

(3) Comprehensive listing of medications; and

(4) Relevant comments; and

(d) Cooperate with any District of Columbia Medicaid Program initiatives to provide information to beneficiaries at the point of sale including, but not limited to:

(1) Prominently displaying posters or notices; and

(2) Providing beneficiaries with individualized notices, letters, or pamphlets.

SOURCE: Final Rulemaking published at 59 DCR 2298, 2300 (March 23, 2012); as amended by Final Rulemaking published at 65 DCR 7837 (July 27, 2018).