29 DCMR 2704
2704. BRAND NAME DRUGS
Cite as D.C. Mun. Regs. tit. 29, § 2704
2704 BRAND NAME DRUGS
2704.1 A prescription drug written under its brand or trade name shall be filled with its generic equivalent when one is commercially available unless:
(a) The prescriber has indicated that the brand name drug is medically necessary for the beneficiary by writing “medically necessary” or “brand necessary” on the face of the prescription order for the drug; or
(b) The brand is preferred on the District’s Medicaid Preferred Drug List.
2704.2 The Department of Health Care Finance (DHCF) or its agent has the authority to verify the medical necessity of a requested brand name drug.
SOURCE: Notice of Final Rulemaking published at 59 DCR 2298, 2302 (March 23, 2012).