Prescription limitation is a floor, and an issuer may permit supplies greater Drug Services than thirty days as part of its health benefit plan; WAC Teaching doses of self-administrable injectable medications may be limited to three doses per medication per lifetime. Allowable WAC Plan may restrict prescription drug coverage based on contract Limitations on or plan terms and conditions that otherwise limit coverage, such Prescription Prescription as medical necessity. Drug Services Drug Services WAC Prescribers may use "Dispense as Written" prescriptions (EHB) (Cont’d) (prescriptions which do not allow substitution of a generic or therapeutic equivalent drug for the drug prescribed), subject to the terms and conditions of the health plan. State benefit RCW 48.43.176; State benefit requirements classified to the prescription drug requirements RCW 48.44.440; services category include: classified to Medical foods to treat inborn errors of metabolism (WAC this category RCW 48.44.315; Diabetes supplies ordered by the physician (Inclusion of this WAC benefit requirement does not bar issuer variation in diabetic supply manufacturers under its drug formulary; RCW 48.44.341; Mental health prescription drugs to the extent not covered WAC under the hospitalization or skilled nursing facility services, or mental health and substance use disorders categories. WAC Formulary An issuer's formulary is part of the prescription drug services category. The formulary filed with the commissioner must be
Prescription Drug Services (EHB) Prescription Drug Services Allowable Limitations on Prescription Drug Services (Cont’d) limitation is a floor, and an issuer may permit supplies greater than thirty days as part of its health benefit plan; WAC Teaching doses of self-administrable injectable medications may be limited to three doses per medication per lifetime. WAC Plan may restrict prescription drug coverage based on contract or plan terms and conditions that otherwise limit coverage, such as medical necessity. WAC Prescribers may use "Dispense as Written" prescriptions (prescriptions which do not allow substitution of a generic or therapeutic equivalent drug for the drug prescribed), subject to the terms and conditions of the health plan. State benefit requirements classified to this category RCW 48.43.176; RCW 48.44.440; State benefit requirements classified to the prescription drug services category include: Medical foods to treat inborn errors of metabolism (WAC RCW 48.44.315; WAC Diabetes supplies ordered by the physician (Inclusion of this benefit requirement does not bar issuer variation in diabetic supply manufacturers under its drug formulary; RCW 48.44.341; WAC Mental health prescription drugs to the extent not covered under the hospitalization or skilled nursing facility services, or mental health and substance use disorders categories. Formulary WAC An issuer's formulary is part of the prescription drug services category. The formulary filed with the commissioner must be
checklist-forms-2018-hcsc-individual-analyst-checklist.docx