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 [REVOKED] |
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 [REVOKED] |
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 [REVOKED] |
Section 87 | 340B Drug Discount Program [AMENDED] |
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.