Pharmacy Benefit. In providing the Medicaid pharmacy benefit to their members, MCPs must cover the same drugs covered by the Ohio Medicaid fee-for-service program. MCPs may establish a preferred drug list for members and providers which includes a listing of the drugs that they prefer to have prescribed. Preferred drugs requiring prior authorization approval must be clearly indicated as such. Pursuant to ORC §5111.172, ODJFS may approve MCP-specific pharmacy program utilization management strategies (see appendix G.3.a).
Appears in 4 contracts
Samples: Provider Agreement (Wellcare Health Plans, Inc.), Provider Agreement (Molina Healthcare Inc), Provider Agreement (Molina Healthcare Inc)
Pharmacy Benefit. In providing the Medicaid pharmacy benefit to their members, MCPs must cover the same drugs covered by the Ohio Medicaid fee-for-service program. MCPs may establish a preferred drug list for members and providers which includes a listing of the drugs that they prefer to have prescribed. Preferred drugs requiring prior authorization approval must be clearly indicated as such. Pursuant to ORC §5111.1725111.72, ODJFS may approve MCP-specific pharmacy program utilization management strategies (see appendix G.3.a).
Appears in 2 contracts
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc), Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)
Pharmacy Benefit. In providing the Medicaid pharmacy benefit to their members, MCPs must cover the same drugs covered by the Ohio Medicaid fee-for-service program. MCPs may establish a preferred drug list for members and providers which includes a listing of the drugs that they prefer to have prescribed. Preferred drugs requiring prior authorization approval must be clearly indicated as such. Pursuant to ORC §5111.172Section 5111.72, ODJFS may approve MCP-specific pharmacy program utilization management strategies (see appendix G.3.a).
Appears in 1 contract
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Molina Healthcare Inc)
Pharmacy Benefit. In providing the Medicaid pharmacy benefit to their members, MCPs must cover the same drugs covered by the Ohio Medicaid fee-for-service program. Appendix G MCPs may establish a preferred drug list for members and providers which includes a listing of the drugs that they prefer to have prescribed. Preferred drugs requiring prior authorization approval must be clearly indicated as such. Pursuant to ORC §5111.1725111.72, ODJFS may approve MCP-specific pharmacy program utilization management strategies (see appendix G.3.a).
Appears in 1 contract
Pharmacy Benefit. In providing the Medicaid pharmacy benefit to their members, MCPs must cover the same drugs covered by the Ohio Medicaid fee-for-service program. MCPs may establish a preferred drug list for members , in accordance with OAC rule 5101:3-26-03(A) and providers which includes a listing of the drugs that they prefer to have prescribed. Preferred drugs requiring prior authorization approval must be clearly indicated as such(B). Pursuant to ORC §Section 5111.172, MCPs may, subject to ODJFS may approve MCP-specific pharmacy program utilization approval, implement strategies for the management strategies of drug utilization. (see appendix G.3.a).
Appears in 1 contract
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)
Pharmacy Benefit. In providing the Medicaid pharmacy benefit to their members, MCPs must cover the same drugs samedrugs covered by the Ohio Medicaid fee-for-service program. MCPs may establish a preferred drug list for members and providers which includes a listing of the drugs that they prefer to have prescribed. Preferred drugs requiring prior authorization approval must be clearly indicated as such. Pursuant to ORC §5111.1725111.72, ODJFS may approve MCP-specific pharmacy program utilization management strategies (see appendix G.3.a).
Appears in 1 contract
Samples: Ohio Medical Assistance Provider Agreement for Managed Care Plan (Wellcare Health Plans, Inc.)
Pharmacy Benefit. In providing the Medicaid pharmacy benefit to their members, MCPs must cover the same drugs covered by the Ohio Medicaid fee-for-for- service program. MCPs may establish a preferred drug list for members , in accordance with OAC rule 5101:3-26-03(A) and providers which includes a listing of the drugs that they prefer to have prescribed. Preferred drugs requiring prior authorization approval must be clearly indicated as such(B). Pursuant to ORC §Section 5111.172, MCPs may, subject to ODJFS may approve MCP-specific pharmacy program utilization approval, implement strategies for the management strategies of drug utilization. (see appendix G.3.a).
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