13 CSR 70-20.047

Ninety-Day Supply Requirement for Select Prescriptions

Last amended: 2025Year: 2026Length: 293 wordsOfficial source
PURPOSE: This rule establishes a ninety- (90-) day supply requirement per dispensing on select prescriptions reimbursed by the MO HealthNet Division (MHD) on behalf of participants eligible for MO HealthNet. PUBLISHER’S NOTE: The secretary of state has determined that publication of the entire text of the material that is incorporated by reference as a portion of this rule would be unduly cumbersome or expensive. This material as incorporated by reference in this rule shall be maintained by the agency at its headquarters and shall be made available to the public for inspection and copying at no more than the actual cost of reproduction. This note applies only to the reference material. The entire text of the rule is printed here. (1) MHD participating pharmacies shall dispense a ninety- (90-) day supply of select prescriptions to a participant eligible for fee-for-service programs. Prescriptions subject to this ninety- (90-) day supply requirement are included in the 90-Day Supply Medication List, and incorporated by reference and made part of this rule as published by the Department of Social Services, MO HealthNet Division, 615 Howerton Court, Jefferson City, MO 65109, at its website at https://mydss.mo.gov/media/pdf/90-daysupply-medication-list-1, November 15, 2021. This rule does not incorporate any subsequent amendments or additions. AUTHORITY: sections 208.201 and 660.017, RSMo 2016, and sections 208.152 and 208.153, RSMo Supp. 2024.* Original rule filed Jan. 15, 2021, effective July 30, 2021. Amended: Filed Sept. 9, 2024, effective April 30, 2025. *Original authority: 208.152, RSMo 1967, amended 1969, 1971, 1972, 1973, 1975, 1977, 1978, 1978, 1981, 1986, 1988, 1990, 1992, 1993, 2004, 2005, 2007, 2011, 2013, 2014, 2015, 2016, 2018, 2021, 2023, 2024; 208.153, RSMo 1967, amended 1967, 1973, 1989, 1990, 1991, 2007, 2012, 2024; 208.201, RSMo 1987, amended 2007; and 660.017, RSMo 1993, amended 1995.
13 CSR 70-20.047: Ninety-Day Supply Requirement for Select Prescriptions | Justis AI