Current through September 2, 2024
Section 16.03.09.661 - PRESCRIPTION DRUGS: PARTICIPANT ELIGIBILITY01.Obtaining a Prescription Drug. To obtain a prescription drug, a Medicaid participant or authorized agent must present the participant's Medicaid identification card to a participating pharmacy together with a prescription from a licensed prescriber.02.Tamper-Resistant Prescription Requirements. Any written, non-electronic prescription for a Medicaid participant must be written on a tamper-resistant prescription form. The paper on which the prescription is written must have: a. One (1) or more industry-recognized features designed to prevent unauthorized copying of a completed or blank prescription form;b. One (1) or more industry-recognized features designed to prevent the erasure or modification of information written on the prescription by the prescriber;c. One (1) or more industry-recognized features designed to prevent the use of counterfeit prescription forms.03.Tamper-Resistant Prescription Requirements Not Applicable. The tamper-resistant prescription requirements do not apply when the prescription is communicated by the prescriber to the pharmacy electronically, verbally, by fax, or when drugs are provided in an inpatient hospital or a nursing facility where the patient and family do not have direct access to the paper prescription.04.Drug Coverage for Dual Eligibles. For Medicaid participants who are also eligible for Medicare known as "dual eligibles", the Department will pay for Medicaid-covered drugs that are not covered by Medicare Part D. Dual eligibles will be subject to the same limits and processes used for any other Medicaid participants.Idaho Admin. Code r. 16.03.09.661