Colorado § 25.5-5-322 Over-the-counter medications - rules

Colorado Statutes

§ 25.5-5-322 — Over-the-counter medications - rules

Colorado·Title 25.5 Health·Art. Colorado Medical Assistance Act -

(1)(a) Subject to approval through the state budget process described in subsection (1)(b) of this section, the state board shall adopt by rule a system to allow pharmacies to be reimbursed for providing certain over-the-counter medications to members if prescribed by a licensed practitioner authorized to prescribe prescription drugs or, subject to the limitations contained in subsection (2) of this section, a licensed pharmacist. Over-the-counter medications subject to reimbursement pursuant to this section must be identified through the drug utilization review process established in section 25.5-5-506, and are limited to medications that, if reimbursed, result in overall cost savings to the state.

(b)After the list of over-the-counter medications is identified pursuant to pa

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(1) (a) Subject to
approval through the state budget process described in subsection (1)(b) of this
section, the state board shall adopt by rule a system to allow pharmacies to be
reimbursed for providing certain over-the-counter medications to members if
prescribed by a licensed practitioner authorized to prescribe prescription drugs or,
subject to the limitations contained in subsection (2) of this section, a licensed
pharmacist. Over-the-counter medications subject to reimbursement pursuant to
this section must be identified through the drug utilization review process
established in section 25.5-5-506, and are limited to medications that, if
reimbursed, result in overall cost savings to the state.

(b) After the list of over-the-counter medications is identified pursuant to
paragraph (a) of this subsection (1), the state department shall request, through the
state budget process, that the reimbursements be implemented. The state
department shall report to the joint budget committee annually concerning the
amount of any savings realized from the reimbursements.

(2) (a) The state board, in consultation with the state board of pharmacy
created pursuant to section 12-280-104, shall establish by rule standards for when
a licensed pharmacist may prescribe over-the-counter medications as provided
under this section for purposes of receiving reimbursement under the medical
assistance program.

(b) When prescribing over-the-counter medications under this section, a
licensed pharmacist shall consult with the member to determine necessity, provide
drug counseling, review drug therapy for potential adverse interactions, and make
referrals as needed to other health-care professionals.

Colorado § 25.5-5-322 (Over-the-counter medications - rules) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Legislative History

Source: L. 2010: Entire section added, (SB 10-117), ch. 227, p. 985, � 2, effective July 1. L. 2012: (2)(a) amended, (HB 12-1311), ch. 281, p. 1628, � 75, effective July 1. L. 2019: (2)(a) amended, (HB 19-1172), ch. 136, p. 1709, � 183, effective October 1. L. 2024: (1)(a) and (2)(b) amended, (SB 24-176), ch. 152, p. 647, � 50, effective August 7.