2701. PROVIDER PARTICIPATION

2701 PROVIDER PARTICIPATION 2701.1 A provider of pharmacy services shall be a licensed pharmacy. To participate in the District of Columbia’s Medicaid Program, the provider shall: Fully comply with any applicable District, state and federal laws or regulations governing the provision and reimbursement of pharmacy services; and (b) Complete and sign the Medicaid Provider Agreement. 2701.2 As a condition of participation, the provider shall be required to comply with the following requirements: Perform prospective drug utilization review before dispensing each prescription. This shall include screenings for, but not limited to, the following: Therapeutic duplication; Drug-disease contraindications; Drug interactions; Incorrect dosage indication, or duration; (5) Drug allergies; and Abuse or misuse; Provide patient counseling on all matters which, in the provider’s professional judgment, shall be deemed significant, including: Name and/or description of the medication; Route, dosage form, and duration of therapy; Directions for use; Common side effects; Potential adverse reactions, contraindications; Storage; and Refill information; Obtain, record, and maintain patient profiles including the following: Name, address, phone number, age and gender; Individual history (i.e., diseases, allergies, drug reactions); Comprehensive listing of medications; and Relevant comments; and Cooperate with any District of Columbia Medicaid Program initiatives to provide information to beneficiaries at the point of sale including, but not limited to: Prominently displaying posters or notices; and Providing beneficiaries with individualized notices, letters, or pamphlets. SOURCE: Final Rulemaking published at 59 DCR 2298, 2300 (March 23, 2012); as amended by Final Rulemaking published at 65 DCR 7837 (July 27, 2018). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 2701