1. (a) The office may reimburse under Medicaid for methadone if the drug was prescribed for the treatment of pain or pain management only as follows:

   1. (1) If the daily dosage is not more than sixty (60) milligrams.

   2. (2) If the daily dosage is more than sixty (60) milligrams, only if:

      1. (A) prior authorization is obtained; and
      2. (B) a determination of medical necessity has been shown by the provider.

2. (b) A managed care organization may reimburse under Medicaid for methadone if the drug is prescribed for the treatment of pain or pain management only as follows:

   1. (1) If the daily dosage is not more than sixty (60) milligrams.

   2. (2) If the daily dosage is more than sixty (60) milligrams, only if:

      1. (A) prior authorization is obtained; and
      2. (B) a determination of medical necessity has been shown.

As added by P.L.209-2015, SEC.12.