Pharmacy. 4.6.6.1 The Contractor shall provide pharmacy services either directly or through a Pharmacy Benefits Manager (PBM). The Contractor or its PBM may establish a drug formulary if the following minimum requirements are met: · Drugs from each specific therapeutic drug class are included and are sufficient in amount, duration, and scope to meet Members’ medical needs; · The only excluded drug categories are those permitted under section 1927(d) of the Social Security Act; · A Pharmacy & Therapeutics Committee that advises and/or recommends formulary decisions; and · Over-the-counter medications specified in the Georgia State Medicaid Plan are included in the formulary.
Appears in 4 contracts
Samples: Business Associate Agreement (Wellcare Health Plans, Inc.), Business Associate Agreement (Centene Corp), Business Associate Agreement (Wellcare Health Plans, Inc.)
Pharmacy. 4.6.6.1 The Contractor shall provide pharmacy services either directly or through a Pharmacy Benefits Manager (PBM). The Contractor or its PBM may establish a drug formulary if the following minimum requirements are met: · • Drugs from each specific therapeutic drug class are included and are sufficient in amount, duration, and scope to meet Members’ medical needs; · • The only excluded drug categories are those permitted under section 1927(d) of the Social Security Act; · • A Pharmacy & Therapeutics Committee that advises and/or recommends formulary decisions; and · • Over-the-counter medications specified in the Georgia State Medicaid Plan are included in the formulary.
Appears in 1 contract
Samples: Business Associate Agreement (Wellcare Health Plans, Inc.)
