Interaction with other Regulations

The application of any provision of 101 CMR 801.00, including the determination of a target value under 101 CMR 801.04, does not constitute a determination of medical necessity for a covered drug by the MassHealth agency for any individual MassHealth member, a determination that payment is available for a covered drug from the MassHealth agency to any MassHealth provider, or establish the rate of payment for any covered drug by EOHHS, and does not otherwise supersede any other applicable provision of another MassHealth or EOHHS regulation, including 130 CMR 450.000: Administrative and Billing Regulations, 130 CMR 406.000: Pharmacy Services, or 101 CMR 331.00: Prescribed Drugs.