89 Ill. Adm. Code 126.90
Other Administrative Responsibilities
Section 126.90 Other
Administrative Responsibilities
a) The Program Administrator shall contract
with pharmacies electing to participate in the Illinois Prescription Drug
Discount Program.
b) The contract shall require that a participating
pharmacy, at a minimum, in Illinois be licensed and in good standing.
Participation of any pharmacy shall be terminated by the Department upon a pharmacy's
breach of contract and/or violation of the terms of the Illinois Prescription
Drug Discount Program Act.
c) Cardholders may purchase medications in
amounts up to a 90-day supply, except as may be necessary for utilization
control reasons.
d) The Department and/or Program Administrator
may negotiate with one or more drug manufacturers for payment rebates. These
rebate dollars are to be used to further reduce the prescription cost to the
Illinois Prescription Drug Discount Program enrollees, consistent with the
requirements of the Illinois Prescription Drug Discount Program.
e) The Program Administrator is responsible
for providing reports to the Department regarding enrollment participation,
prescription costs, savings, pharmacy participation, and any other reports
deemed necessary by the Department.
f) The Program Administrator is responsible
for providing customer service to cardholders and is responsible for
developing, administering and promoting any clinical programs, such as disease
management, implemented at the discretion of the Director.