5101:3-9-01      Eligible Providers of Pharmacy Services

Effective Date: April 14, 2005

Three types of providers are eligible for reimbursement for pharmacy services,: "pharmacy providers,", "hospitals" with a "prescribed drugs" category of service, and "other providers" with a "prescribed drugs" category of service.

(A)      A "pharmacy provider" designation and provider number can be obtained by a "terminal distributor of dangerous drugs," as defined in section 4729.01 of the Revised Code, who also:

(1)      Has a valid drug enforcement agency (DEA) number; and

(2)      Has a licensed registered pharmacist in full and actual charge of a pharmacy; and

(3)      Complies with rule 5101:3-1-172   5101:3-1-17.2of the Administrative Code and signs a provider agreement pursuant thereto.

(B)      A "hospital" provider acting as a pharmacy in accordance with paragraphs (A)(1) to (A)(3) of this rule can obtain a "prescribed drug" category of service and provide self-administered, take home take-home drugs.

(C)      "Other providers" who have a valid medicaid provider agreement and have met the criteria under Ohio the Revised Code for dispensing pharmaceuticals but are not eligible to become a "pharmacy provider" as defined in paragraph (A) of this rule, are eligible to apply for a "prescribed drug" category of service.

Effective Date: 4/14/05

R.C. 119.032 review dates: 01/28/2005

Certification: Certified Electronically

Promulgated Under: 119.03

Statutory Authority: 5111.02

Rule Amplifies: 5111.01, 5111.02

Prior Effective Dates: 4/7/77, 9/19/77, 12/21/77, 12/30/77, 7/8/78, 10/1/78, 5/9/86, 11/1/86, 10/1/87, 2/1/88, 1/13/89 (Emer), 4/13/89, 6/1/89, 7/1/94, 10/1/97, 2/3/00 (Emer), 5/1/00