Section 208.562

Title XII PUBLIC HEALTH AND WELFARE

Chapter 208

Effective - 05 Oct 2001, 2 histories, see footnote   (history) 

  *208.562.  Use of generic drugs — reimbursement of pharmacies. — 1. Generic prescription drugs shall be used for the program when available. An enrollee may receive a name-brand drug when a generic drug is available only if both the physician and enrollee request that the name-brand drug be dispensed and the enrollee pays the coinsurance on the generic drug plus the difference in cost between the name-brand drug and the generic drug.

  2. Pharmacists participating in the Missouri Senior Rx program shall be reimbursed for the price of prescription drugs based on the following formula:

  (1) For generic prescription drugs, the average wholesale price minus twenty percent, plus a four dollar and nine cent dispensing fee; and

  (2) For name-brand prescription drugs, the average wholesale price minus ten and forty-three one-hundredths percent, plus a four dollar and nine cent dispensing fee.

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(L. 2001 1st Ex. Sess. H.B. 3 merged with S.B. 4, et al.)

Effective 10-5-01

*Reauthorization date, see § 208.574