Alaska Administrative Code
Title 7 - Health and Social Services
Part 3 - Public Assistance and Medical Assistance
Chapter 47 - General Relief
Article 1 - General Relief and General Relief Medical
7 AAC 47.271 - Prescribed drugs and medical supplies

Universal Citation: 7 AK Admin Code 47.271

Current through November 28, 2024

(a) The division of medical assistance may not pay for a brand-name prescription drug if an FDA-approved generic drug of equal therapeutic effectiveness is available, unless the prescriber prohibits substitution.

(b) The division of medical assistance may only pay for prescription drugs and medical supplies prescribed to treat a person who

(1) repealed 7/1/87;

(2) has a terminal illness;

(3) has cancer and requires chemotherapy; or

(4) has a specific chronic condition that would normally in its untreated course result in the death or disability of the recipient, but which is amenable to outpatient medication; the chronic conditions for which drugs will be reimbursed are limited to the following diagnoses:
(A) diabetes and diabetes insipidus;

(B) seizure disorders;

(C) chronic mental illness;

(D) hypertension.

(c) Reimbursement to providers will be that computed under 7 AAC 43.591 for the medicaid program.

(d) The division of medical assistance may not pay for more than a 30-day supply of a prescribed drug unless prior authorization has been obtained by the pharmacist from the division of medical assistance.

(e) The division of medical assistance may not pay for non-prescription drugs, except insulin. The division of medical assistance may grant an exception based on written information submitted on a request for authorization form, which is available from the division of medical assistance.

(f) The division of medical assistance may only pay for prescribed medical supplies that have been assigned a current specific billing code number by the division of medical assistance. The division of medical assistance may grant an exception based on written information submitted on a request for authorization form, which is available from the division of medical assistance.

1988

Authority: Chapter 120, SLA

AS 08.80.295

AS 47.05.010

AS 47.25.170

Disclaimer: These regulations may not be the most recent version. Alaska may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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