Payment of Pharmacy Items

Section 140 Section 140.449  Payment of Pharmacy Items a)         The Department shall pay no more for charges submitted than the maximum permitted by federal regulations. b)         Explanation of Drug Restrictions 1)         Group Care Restricted − The drug is available to all recipient categories except individuals residing in a nursing home. 2)         The nursing home must provide the following listed drugs to resident recipients at no charge to the recipient: Acetaminophen Drops 80mg/0.8ml Acetaminophen Drops 120mg/2.5ml Acetaminophen Elixir/Syrup 120mg/5ml Acetaminophen Tab/Cap 325mg Acetaminophen Tab/Cap 500mg Acetaminophen Tab/Cap 650mg Acetaminophen Tablet Chewable 80mg Acetaminophen Tablet Chewable 120mg Aspirin Tab Buffered 325mg Aspirin Tab Buffered 600mg Aspirin Tab EC 300mg Aspirin Tab EC 600mg Aspirin Tab Pediatric Aspirin Tab 300mg Aspirin Tab 600mg Glucola Liquid Milk of Magnesia Liquid Milk of Magnesia Tablet Zinc Oxide Ointment c)         No restrictions – The drug is available to all recipient categories, including nursing home residents and recipients of basic health coverage. d)         Group Care Restricted – The drug is available to all recipients except recipients residing in nursing homes.  The nursing home must provide the following listed items to resident recipients at no charge to the recipient: Acetest Reagent Tablets Albustix Strips Chemstrip BG Strips Chemstrip GP Chemstrip K Papers Chemstrip Test Kit Chemstrip UG Strips Chemstrip UGK Strips Chemstrip 5 Clinistix Strip Clinitest (2 Drop) Clinitest Analysis Set Clinitest Analysis Set (2 Drop) Clinitest Tablet Clinitest Tablet Foil Combistix Dextrostix Reagent Strips Dextrostix Reagent Strips Foil Diascan Dual Pad Strips Diastix Strips Exactech Test Strips Glucofilm Test Strips Glucoscan Test Strips Glucostix Strips Hema-Combistix Hemastix Strips Hematest Tablet Keto-Diastix Keto-Diastix 5 Ketostix Strips Labstix Lancet for Diabetic Use, Sterile N-Uristix One Touch Test Strips TES-Tape Tracer BG Strips Trendstrips Uristix Visidex II Reagent Strips Any product equivalent to those on the above list or any other nonlisted diabetic testing supply e)        Group care limited – The drug is available only to recipients residing in nursing homes.