ARTICLE 6.1. Medi-Cal Therapeutic Drug Utilization Review
Article 6.1 added by Stats. 1984, Ch. 1636, Sec. 5.
§§ 14195–14196 · 9 sections
- § 14195 It is the intent of the Legislature to provide medical assistance, including prescribed drugs, to the state’s eligible poor in a manner consistent with the…
- § 14195.2 The open drug formulary, as established pursuant to this article, shall be implemented in one pilot project site. The site shall be located in a northern…
- § 14195.3 (a) For purposes of the open drug formulary pilot project as established by this article, a provider may be reimbursed for any drug prescribed to a beneficiary…
- § 14195.4 A Medi-Cal Therapeutic Drug Utilization and Review Committee is hereby established. The committee shall be composed of 17 members who shall serve at the…
- § 14195.5 The Medi-Cal Therapeutic Drug Utilization and Review Committee shall set standards for evaluation of the therapeutic outcomes of prescribed drugs to be applied…
- § 14195.6 The department shall develop a request for a proposal, and may award a contract to an expert contractor to implement the standards and practices established by…
- § 14195.7 This article shall not apply to any service rendered by a provider in conjunction with any capitated rate or primary care case contract negotiated pursuant to…
- § 14195.9 In no case shall the director’s discretion under Section 14120 be exercised to reduce reimbursement to providers of pharmaceutical services because of…
- § 14196 (a) The department shall adopt any regulations necessary to implement this article. These regulations shall be adopted as emergency regulations in accordance…