Md. Code, Health-Gen. § 15-148. Prior authorization requirement for contraceptive drug or device prohibited: Medical and Pharmacy Assistance Programs – Maryland
Status: Enacted Year Enacted: 2016
Except for a drug or device for which the U.S. Food and Drug Administration has issued a black box warning, the Program and the Maryland Children’s Health Program may not apply a prior authorization requirement …
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Md. Code, Health-Gen. §§ 15-101 through 15-149: Medical and Pharmacy Assistance Programs – Maryland
Status: Enacted Year Enacted: 1982
This section established the MD Medicaid expansion, which the Secretary shall administer. Enrollment standards and processes shall comply with this section. The Program shall use its leverage as a high volume purchaser to promote the …
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Me. Stat. tit. 22, § 3172. Definitions: Aid to Needy Persons – Maine
Status: Enacted Year Enacted: 1979
Definitions for the chapter Aid to Needy Persons
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Me. Stat. tit. 22, § 3173-C. Copayments: Aid to Needy Persons – Maine
Status: Enacted Year Enacted: 1981
States that the department may not require any MaineCare member to may any payment toward the cost of a MaineCare service unless that payment is specifically authorized.
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Me. Stat. tit. 22, § 3174-Y. Prior authorization in Medicaid program: Aid to Needy Persons – Maine
Status: Enacted Year Enacted: 1999
If the commissioner establishes maximum retail prices for prescription drugs pursuant to section 2693, the department shall adopt rules for the Medicaid program requiring additional prior authorization for the dispensing of drugs determined to be …
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Mich. Comp. Laws § 550.1439. Fees prohibited; exception; funding; enrollment of children: The Nonprofit Health Care Corporation Reform Act – Michigan
Status: Enacted Year Enacted: 1991
The program shall not charge any fee to an enrolled eligible child or the child’s parents or legal guardians except that if prescription drug benefits are offered a co-pay not to exceed $3.00 may be …
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Miss. Code Ann. § 43-13-107. Division of Medicaid created; director and other personnel; Medical Care Advisory Committee; Drug Use Review Board; Pharmacy and Therapeutics Committee: Mississippi Medicaid Law – Mississippi
Status: Enacted Year Enacted: 1969
The Division of Medicaid is created in the Office of the Governor and established to administer this article and other duties as prescribed by the law.
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Miss. Code Ann. § 43-13-117. Types of care and services for which financial assistance furnished [Repealed effective July 1, 2021]: Mississippi Medicaid Law – Mississippi
Status: Enacted Year Enacted: 1969
As authorized by this article, Medicaid shall include payment of part of all of the costs with approval of the government and CMS of the following types of care and services
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Mo. Rev. Stat. § 208.782. Missouri Rx plan established, purpose–rulemaking authority: Missouri RX Program – Missouri
Status: Enacted Year Enacted: 2005
The purpose of the Missouri Rx plan, established within the department of social services, is to provide certain pharmaceutical benefits to certain elderly and disabled residents of this state, to facilitate coordination of benefits between …
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N.Y. Pub. Health Law §§ 278, 280, 280-a, 280-c: Prescription Drugs; Various Provisions – New York
Status: Enacted Year Enacted: 2005
No pharmacy benefit manager shall prohibit or penalize a pharmacist or pharmacy from disclosing to an individual purchasing a prescription medication information regarding: the cost of the prescription medication to the individual, or the availability …
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N.Y. Soc. Serv. §§ 369-aa through 369-cc: Medicaid Drug Utilization Review – New York
Status: Enacted Year Enacted: 1992
Definitions for Medicaid Drug Utilization Review.
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Neb. Rev. Stat. § 68-956. Department; duties: Medical Assistance Act – Nebraska
Status: Enacted Year Enacted: 2008
The department must enter the multistate purchasing pool; negotiate directly with manufacturers or labelers or use pharmacy benefit managers in order to achieve the lowest available price for such drugs under such program.
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Ohio Rev. Code §§ 5162.01 through 5162.80: Medicaid Program; Medical Estate Recovery Programs; Medicaid Funds – Ohio
Status: Enacted Year Enacted: 1981
Requires health care providers to supply patients with a “good faith” estimate of how much non-emergency, elective health care services would cost individuals after accounting for health insurance. The law mandates that providers must give …
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S 01175 – New York
Introduced: 2019 Status: Inactive / Dead
Relates to prescription drugs in Medicaid managed care programs.
S 01507 (see companion bill A 02007) – New York
Introduced: 2019 Status: Enacted Year Enacted: 2019
Enacts into law major components of legislation necessary to implement the state health and mental hygiene budget for the 2019-2020 state fiscal year; extends and enhances the Medicaid drug cap and reduces unnecessary pharmacy benefit …
S 01794 (see companion bill A 02799) – New York
Introduced: 2019 Status: Inactive / Dead
Provides for coverage for certain medically necessary prescription drugs in Medicaid managed care programs.