Eligibility Requirements for Recipients in the Program

PURPOSE: This rule contains the criteria by which pharmacies, hospitals and nonprofit clinics will determine eligibility of individual patients to receive donated drugs under the Prescription Drug Repository Program. (1) A pharmacy, hospital, or nonprofit clinic that elects to participate in the Prescription Drug Repository Program shall determine if a person is eligible to receive drugs. A person shall meet the following requirements to become an eligible recipient of drugs from the Prescription Drug Repository Program: (A) Is a resident of Missouri; (B) Has a net family income below three hundred percent (300%) of the federal poverty level; and (C) Has no active third party prescription drug reimbursement coverage for the drug prescribed. (2) The pharmacy, hospital or nonprofit clinic shall provide each individual recipient with an identification card after determining that the recipient is eligible to receive drugs from the program. (A) The card shall confirm to other participating pharmacies, hospitals or nonprofit clinics that the recipient is eligible to receive drugs from the program. (B) The card shall be prepared in a format obtained from the Department of Health and Senior Services and shall contain the following: 1. The full name of the recipient; 2. The address of the recipient; 3. The Social Security number of the recipient; 4. The name of the issuing pharmacy, hospital or nonprofit clinic; 5. The address and telephone number of the issuing pharmacy, hospital or nonprofit clinic; 6. A statement that the issuing pharmacy, hospital or nonprofit clinic has determined that the recipient is eligible to receive drugs from the program; 7. The date the card was issued; and 8. The expiration date of the card, which shall be no later than twelve (12) months from the date the card was issued. AUTHORITY: section 196.984, RSMo Supp. 2004.* Emergency rule filed Dec. 15, 2004, effective Jan. 1, 2005, expired June 29, 2005. Original rule filed Dec. 15, 2004, effective June 30, 2005. *Original authority: 196.984, RSMo 2004.