Sec. 7. (a) Subject to subsection (b), the office may place limits on quantities dispensed or the frequency of refills for any covered drug as required by law or for the purpose of: (1) preventing fraud, abuse, or waste; (2) preventing overutilization, inappropriate utilization, or inappropriate prescription practices that are contrary to: (A) clinical quality and patient safety; and (B) accepted clinical practice for the diagnosis and treatment of mental illness and the considerations specified in subsection (h); or (3) implementing a disease management program. (b) Before implementing a limit described in subsection (a), the office shall: (1) consider quality of care and the best interests of Medicaid recipients; (2) seek the advice of the drug utilization review board, established by IC 12-15-35-19 , at a public meeting of the board; and (3) publish a provider bulletin that complies with the requirements of IC 12-15-13-6 .
‹ Prev All Indiana sections Next ›
Lexace provides legal information, not legal advice, and no attorney–client relationship is created. Statute text is provided for general information and may not reflect the most recent amendments; verify against the official state code.