PURPOSE: The Division of Medical Services establishes the amount of the fee reimbursable for the professional dispensing of each Medicaid-covered prescription by a pharmacy provider, raises the current dispensing fee from two dollars seventy-five cents to three dollars and establishes a longterm care prescription fee add-on. PUBLISHER’S NOTE: The secretary of state has determined that the publication of the entire text of the material which is incorporated by reference as a portion of this rule would be unduly cumbersome or expensive. Therefore, the material which is so incorporated is on file with the agency who filed this rule, and with the Office of the Secretary of State. Any interested person may view this material at either agency’s headquarters or the same will be made available at the Office of the Secretary of State at a cost not to exceed actual cost of copy reproduction. The entire text of the rule is printed here. This note refers only to the incorporated by reference material. (1) A dispensing fee of three dollars ($3) shall be added to the Medicaid maximum allowable payment for each Missouri Medicaid reimbursable prescription filled or refilled by a pharmacy provider.

1. (A) The dispensing fee allowed for the dispensing of only those drugs as specified in 13 CSR 70-20.110 for the treatment of acquired immunodeficiency syndrome shall be set at ten percent (10%) of the maximum allowable drug payment.
2. (B) The professional dispensing fees as provided in this rule shall not be included in the computation of the Missouri Medicaid maximum allowable drug payment for recipient cost-sharing purposes.

3. (2) All pharmacy providers supplying prescribed Medicaid-covered drugs to recipients in long-term care facilities shall receive an additional fifteen cent (15¢)-dispensing fee per claim provided they—

   1. (A) Dispense medication in a drug distribution system(s) which meets minimum standards of container packaging (at least class B as defined in United States Pharmacopeia XXI);

   2. (B) Certify to the Division of Medical Services, on a form and in the manner prescribed by the division, that they—

      1. 1. Provide this dispensing service to

their long-term care facility resident patients;

1. 2. Provide emergency services twenty-

four (24) hours a day with seven (7) days a week availability; and

1. 3. Have ability and willingness to assist

in accessing medications through the Medicaid Exception Process; and

1. (C) Indicate, as prescribed by the Division of Medical Services, on each claim that the prescription was provided in packaging qualifying for the dispensing fee add-on to a recipient in a long-term care facility. AUTHORITY: sections 208.153, RSMo Supp. 1991 and 208.201, RSMo Supp. 1987.* Original rule filed Dec. 15, 1987, effective March 11, 1988. *Original authority: 208.153, RSMo 1967, amended 1973, 1989, 1990, 1991 and 208.201, RSMo 1987.