Or. Admin. R. ch. 410, div. 121 – Pharmaceutical Services | Midpage

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Oregon Administrative Rules

Division 121

Or. Admin. R. ch. 410, div. 121

Pharmaceutical Services

Oregon Health Authority

0000Foreword and Definition of Terms 0021Organizations Authorized to Provide Pharmaceutical Prescription Services 0030Practitioner-Managed Prescription Drug Plan 0032Supplemental Rebate Agreements 0033Polypharmacy Profiling 0040Prior Authorization Required for Drugs and Products 0060How to Get Prior Authorization for Drugs 0061Durable Medical Equipment, Medical Supplies, and Medical Surgical Services (Physician Administered Drugs)0100Drug Use Review 0111Pharmacy and Therapeutics Committee 0135Pharmacy Management Program 0143Client Confidentiality 0145Prescription Requirements 0146Dispensing Limitations 0147Exclusions and Limitations 0148Dispensing in a Nursing Facility or Community Based Care Living Facility 0150Billing Requirements 0155Reimbursement 0157Participation in the Medicaid Drug Rebate Program 0160Dispensing Fees 0185Pharmacy Based Immunization Delivery 0190Medication Therapy Management Services and Clozapine Therapy Monitoring 0200Billing Forms 0220Instructions for Completion of the Prescription Drug Invoice 0280Billing Quantities, Metric Quantities and Package Sizes 0300CMS Federal Upper Limits for Drug Payments 0420DESI Less-Than-Effective Drug List 0580Oregon Medicaid and Pharmaceutical Manufacturers’ Dispute Resolution Procedures 0625Items Covered in the All-Inclusive Rate for Nursing Facilities