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ARSD 67:16:14 – Prescription Drugs | Midpage
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Administrative Rules of South Dakota
Title 67
67:16
Chapter 67:16:14
ARSD 67:16:14
Prescription Drugs
67:16:14:01
Definitions.
67:16:14:02.01
PHS provider identification number.
67:16:14:04
Items and services covered.
67:16:14:05
Items and services not covered.
67:16:14:06
Payment for items dispensed by pharmacy.
67:16:14:06.02
State MAC list.
67:16:14:06.03
Dispensing fee for maintenance drugs.
67:16:14:06.04
Payment of container costs for drugs dispensed under unit dose system.
67:16:14:06.05
Prescriptions for family planning items.
67:16:14:06.06
Payment for drugs dispensed by physician.
67:16:14:06.09
Payment for items dispensed by PHS provider.
67:16:14:06.10
Coverage limits -- Growth hormones.
67:16:14:06.11
Required use of tamper-resistant prescriptions.
67:16:14:08
Utilization review.
67:16:14:13
Billing requirements.
67:16:14:14
Claim requirements.
67:16:14:15
Application of other chapters.
67:16:14:16
Over-the-counter items covered.
67:16:14:17
Drug review by P and T committee.
67:16:14:18
Prior authorization for certain prescription drugs.
67:16:14:19
P and T committee to make recommendations to department.
67:16:14:20
Notice to interested parties before drug placed on list -- Opportunity for interested parties to present data, opinions, and arguments.
67:16:14:21
Notice to providers when drug is to be placed on list.
67:16:14:22
Cost of drug not covered if substitution not made or prior authorization obtained.
67:16:14:23
Emergency supplies.
67:16:14:24
Appeal process.