Prescribed Drugs Provider Manual - Iowa Department of Human ...
Prescribed Drugs Provider Manual - Iowa Department of Human ...
Prescribed Drugs Provider Manual - Iowa Department of Human ...
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<strong>Iowa</strong><strong>Department</strong><strong>of</strong> <strong>Human</strong>Services<strong>Provider</strong> and Chapter<strong>Prescribed</strong> <strong>Drugs</strong>Chapter III. <strong>Provider</strong>-Specific PoliciesPage7DateAugust 1, 20133. Pharmacies Eligible to ParticipateUnder the <strong>Iowa</strong> Medicaid program, drugs must be furnished by a licensedpharmacy. (The Board <strong>of</strong> Pharmacy Examiners issues these licenses.)a. LicensureParticipating retail pharmacies must be licensed in the state <strong>of</strong> <strong>Iowa</strong> orduly licensed in another state. Out-<strong>of</strong>-state retail pharmacies delivering,dispensing, or distributing drugs by any method to an ultimate userphysically located in <strong>Iowa</strong> must be duly licensed by <strong>Iowa</strong> as anonresident pharmacy for that purpose.b. Survey ParticipationAs a condition <strong>of</strong> participation, retail pharmacies are required to makeavailable drug acquisition cost invoice information, product availabilityinformation if known, dispensing cost information, and any otherinformation deemed necessary by the <strong>Department</strong> to assist inmonitoring and revising reimbursement rates pursuant to 441 IAC79.1(8) or for the efficient operation <strong>of</strong> the pharmacy benefit.♦ A pharmacy shall produce and submit all requested information inthe manner and format requested by the <strong>Department</strong> or its designeeat no cost to the <strong>Department</strong> or its designee.♦ A pharmacy shall submit information to the <strong>Department</strong> or itsdesignee within the time frame indicated following receipt <strong>of</strong> arequest for information unless the <strong>Department</strong> or its designee grantsan extension upon written request <strong>of</strong> the pharmacy.♦ Any dispensing or acquisition cost information submitted to the<strong>Department</strong> that specifically identifies a pharmacy’s individual costsshall be held confidential.
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