PURPOSE: The purpose of this is to establish a thirty-one day supply maximum restriction per dispensing on pharmacy services reimbursed by the Division of Medical Services on behalf of patients eligible for any of the feefor-service programs.

1. (1) The maximum days supply of medication which may be provided per dispensing on behalf of a patient eligible for any of the feefor-service programs is thirty-one (31) day supply, except for those drugs and/or categories under the provisions of this rule. Medication may be dispensed in quantities less than a thirty-one (31) day supply, if so ordered by the prescriber, except as specified elsewhere in this rule.
2. (2) Drugs and/or categories of medications which are exempt from the thirty-one (31) day supply limitation and therefore may be dispensed in quantities exceeding a thirty-one
3. (31) day supply are as follows: Maximum Limitation Drug or Category If Applicable Antiretroviral Agents

Contraceptives, Oral One year

Drug products limited by Packaging requirements packaging requirements

Vitamins, Children’s 100 days Vitamins, Prenatal 100 days

1. (3) All spend down recipients are exempt from the Missouri Medicaid thirty-one (31) day supply maximum restriction on pharmacy services.
2. (4) Exemptions from the thirty-one (31) day supply limitation may be given with prior authorization by the Division of Medical Services to prevent a higher level of care.

AUTHORITY: sections 208.152, 208.153 and 208.201, RSMo 2000.* Emergency rule filed Nov. 21, 2000, effective Dec. 1, 2000, expired May 29, 2001. Original rule filed June 29, 2000, effective Feb. 28, 2001. Amended: Filed Dec. 5, 2000, effective June 30, 2001.

*Original authority: 208.152, RSMo 1967, amended 1969, 1971, 1972, 1973, 1975, 1977, 1978, 1978, 1981, 1986, 1988, 1990, 1992, 1993; 208.153, RSMo 1967, amended 1973, 1989, 1990, 1991; and 208.201, RSMo 1987.