048.0037.10.11

Ch. 10, § 11. Excluded Services

Last amended: 2025Length: 167 wordsOfficial source

Cite as Medicaid Rules, Ch. 10, § 11

The following prescription drugs are excluded: (a) Anorexiants, except Amphetamines and derivatives which are prescribed for narcolepsy and hyperkinetic conditions; (b) Fertility drugs; (c) Weight gain agents, including androgenic or anabolic steroid agents when used for weight gain; (d) Cosmetic agents such as Retin-A, provided to clients age twenty-one (21) years or over; (e) OTC drugs and medical supplies, except as designated in Section 8(e) of this Chapter; (f) DESI drugs; (g) Drugs supplied by a manufacturer that has not entered into and does not have in effect a rebate agreement which meets the requirements of 42 U.S.C. § 1396r-8, including any amendments or updates, except as otherwise specified by that Section; and (h) Any services and supplies included in the per diem which are furnished to a resident of a nursing home, an individual admitted as an inpatient or an outpatient in a hospital, or an individual in a swing bed. (i) Any drug, supply or service not designated as a covered service under this Chapter.
048.0037.10.11: Ch. 10, § 11. Excluded Services | Justis AI