For written prescriptions, the cost of the prescribed drug or over-the-counter item is not covered unless the prescription was written on a tamper-resistant prescription drug pad. To be considered tamper resistant, a prescription pad must contain the following three characteristics:
If the prescription fails to meet the requirements of this section and an emergency exists, the pharmacy may fill the prescription and receive reimbursement if the pharmacist obtains a written prescription that complies with this section or obtains the prescription by telephone, fax, or electronically within 72 hours after the fill date.
Prescriptions transmitted electronically to the pharmacy, prescriptions transmitted to the pharmacy by facsimile, prescriptions communicated to the pharmacy by telephone, and refills of a prescription that was originally filled before April 1, 2008, are exempt from the previous section.
S.D. Admin. R. 67:16:14:06.11
General Authority: SDCL 28-6-1.
Law Implemented: SDCL 28-6-1.
U.S. Troop Readiness, Veterans' Care, Katrina Recovery, and Iraq Accountability Appropriations Act of 2007, § 7002(b). Requirement for use of tamper-resistant prescription pads under the Medicaid program, 42 U.S.C. § 1396 b(i)(23).