CHAPTER
BENEFITS RELATED TO PRESCRIPTION DRUGS AND DEVICES AND RELATED SERVICES
- SUBCHAPTER A. COVERAGE OF PRESCRIPTION DRUGS IN GENERAL6 sections§§ 1369.001 · 1369.002 · 1369.003 · 1369.004 · 1369.0041 · 1369.005
- SUBCHAPTER B. REQUIREMENTS AFFECTING COVERAGE OF SPECIFIC PRESCRIPTION DRUGS OR COST SHARING12 sections§§ 1369.051 · 1369.052 · 1369.053 · 1369.054 · 1369.0541 · 1369.0542 · 1369.0545 · 1369.0546 · 1369.0547 · 1369.055 · 1369.056 · 1369.057
- SUBCHAPTER B-1. TRANSPARENCY REQUIREMENTS FOR CERTAIN INDIVIDUAL HEALTH BENEFIT PLANS5 sections§§ 1369.076 · 1369.077 · 1369.078 · 1369.079 · 1369.080
- SUBCHAPTER B-2. DISCLOSURE OF CERTAIN PRESCRIPTION DRUG INFORMATION SPECIFIED BY DRUG FORMULARY4 sections§§ 1369.091 · 1369.092 · 1369.093 · 1369.094
- SUBCHAPTER C. COVERAGE OF PRESCRIPTION CONTRACEPTIVE DRUGS AND DEVICES AND RELATED SERVICES10 sections§§ 1369.101 · 1369.102 · 1369.103 · 1369.1031 · 1369.104 · 1369.105 · 1369.106 · 1369.107 · 1369.108 · 1369.109
- SUBCHAPTER D. PHARMACY BENEFIT CARDS4 sections§§ 1369.151 · 1369.152 · 1369.153 · 1369.154
- SUBCHAPTER E. COVERAGE FOR ORALLY ADMINISTERED ANTICANCER MEDICATIONS4 sections§§ 1369.201 · 1369.202 · 1369.203 · 1369.204
- SUBCHAPTER E-1. COVERAGE OF PRESCRIPTION DRUGS FOR STAGE-FOUR ADVANCED, METASTATIC CANCER3 sections§§ 1369.211 · 1369.212 · 1369.213
- SUBCHAPTER E-2. COVERAGE FOR CHIMERIC ANTIGEN RECEPTOR T-CELL THERAPY4 sections§§ 1369.221 · 1369.222 · 1369.223 · 1369.224
- SUBCHAPTER F. AUDITS OF PHARMACISTS AND PHARMACIES21 sections§§ 1369.251 · 1369.252 · 1369.253 · 1369.254 · 1369.255 · 1369.256 · 1369.257 · 1369.258 · 1369.2581 · 1369.259 · 1369.260 · 1369.261 · 1369.262 · 1369.263 · 1369.264 · 1369.265 · 1369.266 · 1369.267 · 1369.268 · 1369.269 · 1369.270
- SUBCHAPTER G. STANDARD REQUEST FORM FOR PRIOR AUTHORIZATION OF PRESCRIPTION DRUG BENEFITS6 sections§§ 1369.301 · 1369.302 · 1369.303 · 1369.304 · 1369.305 · 1369.306
- SUBCHAPTER H. MAXIMUM ALLOWABLE COST12 sections§§ 1369.351 · 1369.352 · 1369.353 · 1369.354 · 1369.355 · 1369.356 · 1369.357 · 1369.358 · 1369.359 · 1369.360 · 1369.361 · 1369.362
- SUBCHAPTER I. PHARMACY BENEFIT CLAIM ADJUDICATION2 sections§§ 1369.401 · 1369.402
- SUBCHAPTER J. COVERAGE RELATED TO PRESCRIPTION DRUG SYNCHRONIZATION6 sections§§ 1369.451 · 1369.452 · 1369.453 · 1369.454 · 1369.455 · 1369.456
- SUBCHAPTER K. PRESCRIPTION DRUG COST TRANSPARENCY5 sections§§ 1369.501 · 1369.502 · 1369.503 · 1369.5035 · 1369.504
- SUBCHAPTER L. AFFILIATED PROVIDERS5 sections§§ 1369.551 · 1369.552 · 1369.553 · 1369.554 · 1369.555
- SUBCHAPTER M. CONTRACTS WITH PHARMACISTS AND PHARMACIES17 sections§§ 1369.601 · 1369.602 · 1369.6021 · 1369.6022 · 1369.6023 · 1369.6024 · 1369.6025 · 1369.6026 · 1369.6027 · 1369.603 · 1369.604 · 1369.605 · 1369.606 · 1369.607 · 1369.608 · 1369.609 · 1369.610
- SUBCHAPTER N. COVERAGE OF PRESCRIPTION DRUGS FOR AUTOIMMUNE DISEASES AND CERTAIN BLOOD DISORDERS4 sections§§ 1369.651 · 1369.652 · 1369.653 · 1369.654
- SUBCHAPTER Q. CLINICIAN-ADMINISTERED DRUGS4 sections§§ 1369.761 · 1369.762 · 1369.763 · 1369.764