§ 414.764 — Payment for services provided by pharmacy or pharmacist

Oregon § 414.764

• Jurisdiction: Oregon
• Vol.: 11
• Title 34: Human Services; Juvenile Code; Corrections
• Ch. 414: Medical Assistance

Text

(1) The Oregon Health Authority may reimburse a pharmacist or pharmacy for any health service:
(a) Provided to a medical assistance recipient who is not enrolled in a coordinated care organization or a prepaid managed care health services organization;
(b) That is within the lawful scope of practice of a pharmacist; and
(c) If the authority determines the service is within the types and extent of health care and services to be provided to medical assistance recipients under ORS 414.065.
(2) A coordinated care organization may reimburse a pharmacist or pharmacy for any health service:
(a) Provided to a medical assistance recipient who is enrolled in the coordinated care organization or a prepaid managed care health services organization that enters into a clinical pharmacy agreement with the pharmacist or pharmacy; and
(b) That is within the lawful scope of practice of a pharmacist.
(3) The Oregon Health Authority and a coordinated care organization shall reimburse a pharmacist or pharmacy, in the same manner as would be provided to any other health care provider, for:
(a) The prescription, dispensation and administration of preexposure and post-exposure prophylactic antiretroviral therapies pursuant to ORS 689.645 and 689.704; and
(b) The service provided by the pharmacist.

Legislative History

2015 c.362 §6; 2025 c.206 §1