South Carolina § 44-6-1040 Preferred drug list program; procedures to be included.

South Carolina Statutes

§ 44-6-1040 — Preferred drug list program; procedures to be included.

South Carolina·Title 44 HEALTH·Ch. 6 DEPARTMENT OF HEALTH AND HUMAN SERVICES

Any preferred drug list program implemented by the department must include:

(1)procedures to ensure that a request for prior authorization that has no material defect or impropriety can be processed within twenty-four hours of receipt;

(2)procedures to allow the prescribing physician to request and receive notice of any delays or negative decision in regard to a prior authorization;

(3)procedures to allow the prescribing physician to request and receive a second review of any denial of a prior authorization request; and (4) procedures to allow a pharmacist to dispense an emergency, seventy-two hour supply of a drug requiring prior authorization without prior authorization if the pharmacist:

(a)has made a reasonable attempt to contact the physician and request that the prescribing physi

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Any preferred drug list program implemented by the department must include: (1) procedures to ensure that a request for prior authorization that has no material defect or impropriety can be processed within twenty-four hours of receipt; (2) procedures to allow the prescribing physician to request and receive notice of any delays or negative decision in regard to a prior authorization; (3) procedures to allow the prescribing physician to request and receive a second review of any denial of a prior authorization request; and (4) procedures to allow a pharmacist to dispense an emergency, seventy-two hour supply of a drug requiring prior authorization without prior authorization if the pharmacist: (a) has made a reasonable attempt to contact the physician and request that the prescribing physician secure prior authorization; and (b) reasonably believes that refusing to dispense a seventy-two-hour supply would unduly burden the Medicaid recipient and produce undesirable health consequences.

South Carolina § 44-6-1040 (Preferred drug list program; procedures to be included.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.