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OHCA Policies and Rules

Section 70 Eligible providers
Section 70.1 Pharmacist responsibility
Section 70.2 Record retention/Post Payment Review
Section 70.3 Prescriber identification numbers
Section 70.4 Federal/State cost share-optional program
Section 71 Drug Utilization Review [REVOKED]
Section 72 Categories of service eligibility
Section 72.1 Drug benefit
Section 73 Coverage for children (categorically and medically needy) [REVOKED]
Section 74 Vocational rehabilitation [REVOKED]
Section 75 Individuals eligible for Part B of Medicare [REVOKED]
Section 76 Generic drugs
Section 77 Brand necessary certification
Section 77.1 Dispensing quantity
Section 77.2 Prior authorization
Section 77.3 Product-based prior authorization (PBPA)
Section 77.4 Step therapy exception process
Section 78 Reimbursement
Section 78.1 Special billing procedures
Section 78.2 Falsification of claims
Section 79 Quantity dispensed [REVOKED]
Section 80 National drug code
Section 81 Medical identification card [REVOKED]
Section 82 Prescriber numbers [REVOKED]
Section 83 Pharmacist's responsibility [REVOKED]
Section 84 Record retention [REVOKED]
Section 85 Special billing procedures [REVOKED]
Section 86 Drug Utilization Review (DUR) program
Section 86.1 Disease state management [REVOKED]
Section 86.2 Case management
Section 87 340B Drug Discount Program

 

Disclaimer. The OHCA rules found on this Web site are unofficial. The official rules are published by the Oklahoma Secretary of State Office of Administrative Rules as Title 317 of the Oklahoma Administrative Code. To order an official copy of these rules, contact the Office of Administrative Rules at (405) 521-4911.

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