HSB 582

These requirements apply whether the partial dispensing of a quantity authorized by a prescription is due to a policy of the authorized dispenser, a requirement of the third-party payment provider contract or policy, a supply deficit, or for any other reason. The bill directs the department of human services to adopt administrative rules to require Medicaid providers to comply with these provisions, whether the partial dispensing of the quantity authorized by the prescription is due to a policy of the authorized dispenser, a requirement of a managed care organization or third-party payment provider contract or policy, a supply deficit, or for any other reason. The requirement applies under both fee-for-service and managed care program administration of Medicaid. _____ prescription drug shall not exceed the established dispensing fee applicable as if the total quantity prescribed had been dispensed at one time, and the cumulative copayment required for all partially dispensed quantities of the prescription drug shall not exceed the established copayment applicable as if the total quantity prescribed had been dispensed at one time. The provision applies whether the partial dispensing of a quantity authorized by a prescription is due to a policy of the authorized dispenser, a requirement of the third-party payment provider contract or policy, a supply deficit, or for any other reason.