| 182-530-1000 | Outpatient drug program--General. |
| 182-530-1050 | Definitions. |
| 182-530-1075 | Requirements -- Use of tamper-resistant prescription pads. |
| COVERAGE |
| 182-530-2000 | Covered--Outpatient drugs, devices, and drug-related supplies. |
| 182-530-2100 | Noncovered--Outpatient drugs and pharmaceutical supplies. |
| 182-530-2200 | How the medicaid agency develops and maintains the formulary. |
| 182-530-2300 | The medicaid agency's nonformulary justification process. |
| AUTHORIZATION |
| 182-530-3000 | When the department requires authorization. |
| 182-530-3100 | How the department determines when a drug requires authorization. |
| 182-530-3200 | The department's authorization process. |
| QUALITY OF CARE |
| 182-530-4000 | Drug use review (DUR) board. |
| 182-530-4050 | Drug use and claims review. |
| 182-530-4100 | Washington preferred drug list (PDL). |
| 182-530-4125 | Generics first for a client's first course of treatment. |
| 182-530-4150 | Therapeutic interchange program (TIP). |
| BILLING |
| 182-530-5000 | Billing requirements--Pharmacy claim payment. |
| 182-530-5050 | Billing requirements--Point-of-sale (POS) system/prospective drug use review (Pro-DUR). |
| 182-530-5100 | Billing requirements--Unit dose. |
| MAIL-ORDER SERVICES |
| 182-530-6000 | Mail-order services. |
| REIMBURSEMENT |
| 182-530-7000 | Reimbursement. |
| 182-530-7050 | Reimbursement--Dispensing fee determination. |
| 182-530-7100 | Reimbursement--Pharmaceutical supplies. |
| 182-530-7150 | Reimbursement--Compounded prescriptions. |
| 182-530-7200 | Reimbursement--Out-of-state prescriptions. |
| 182-530-7250 | Reimbursement--Miscellaneous. |
| 182-530-7300 | Reimbursement--Requesting a change. |
| 182-530-7350 | Reimbursement--Unit dose drug delivery systems. |
| 182-530-7400 | Reimbursement--Compliance packaging services. |
| 182-530-7500 | Drug rebate requirement. |
| 182-530-7600 | Reimbursement--Clients enrolled in managed care. |
| 182-530-7700 | Reimbursement--Dual eligible clients/medicare. |
| 182-530-7800 | Reimbursement--Clients with third-party liability. |
| 182-530-7900 | Drugs purchased under the Public Health Service (PHS) Act. |
| REIMBURSEMENT METHODOLOGY |
| 182-530-8000 | Reimbursement method--Estimated acquisition cost (EAC). |
| 182-530-8050 | Reimbursement--Federal upper limit (FUL). |
| 182-530-8100 | Reimbursement--Maximum allowable cost (MAC). |
| 182-530-8150 | Reimbursement--Automated maximum allowable cost (AMAC). |