23 MAC Pt. 214, R. 1.8
Generic Mandates for Prescription Drugs
Cite as 23 Miss. Admin. Code Pt. 214, R. 1.8
Generic Mandates for Prescription Drugs
Mississippi law requires that the Division of Medicaid does not reimburse for a brand name drug
if an equally effective generic equivalent is available and the generic equivalent is the least
expensive.
A. Generic drugs classified as non-preferred by the Division of Medicaid require prior
authorization.
B. In the absence of a specific request for the brand name drug from the prescribing provider to
the pharmacist, the pharmacist must follow standard practice guidelines for the State of
Mississippi and fill the prescription with the generic equivalent unless the branded agent is
preferred and the generic agent is non-preferred.
C. Prior authorization (PA) is required for any brand name multiple source drug that has a
generic equivalent except Narrow Therapeutic Index (NTI) drugs as defined by the Division
of Medicaid.