Drug Utilization Management Programs. The MCOP may, pursuant to ORC Section 5167.12, implement strategies for the management of drug utilization for Medicaid covered drugs not covered by Medicare Part D. The MCOP may, subject to ODM prior approval, require prior authorization of certain drug classes, and place limitations on the type of provider and locations where certain drugs may be administered. Concurrently, the MCOP cannot require PA for drugs used to prevent preterm birth nor can they require PA for the location of administration.
Appears in 12 contracts
Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan, The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan
Drug Utilization Management Programs. The MCOP may, pursuant to ORC Section 5167.12, implement strategies for the management of drug utilization for Medicaid covered drugs not covered by Medicare Part D. The MCOP may, subject to ODM prior approval, require prior authorization of certain drug classes, classes and place limitations on the type of provider and locations where certain drugs may be administered. Concurrently, the MCOP cannot require PA for drugs used to prevent preterm birth nor can they require PA for the location of administration.
Appears in 1 contract
Samples: The Ohio Department of Medicaid Mycare Ohio Provider Agreement for Mycare Ohio Plan
