048.0037.10.11
Ch. 10, § 11. Excluded Services
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.