Are there any restrictions or limitations on the use of managed care programs to obtain prescription drugs?

Yes, there are restrictions and limitations on the use of managed care programs to obtain prescription drugs in Washington. In the State of Washington, Medicaid recipients are required to use managed care to receive payment for pharmacy services, including prescription drugs. This means that those receiving Medicaid services must use a managed care plan to purchase their prescriptions in order to receive reimbursement. In addition, there are limits to the amount of prescription drugs covered by one of the managed care plans. For example, some plans may only pay for a limited number of prescription drugs per month, or require prior authorization from a doctor before reimbursing for a prescription. Furthermore, not every managed care plan covers every drug or drug type, and some drugs may have higher co-payments than others. In Washington, pharmacists are also required to use theWashington Electronic Prescriptions for Controlled Substances (ePCS) program for certain types of prescription drugs, such as certain Schedule III, IV and V narcotics. This program helps to reduce the risk of misuse and prescription drug abuse by preventing the duplication, fraud, and diversion of such drugs. Lastly, in Washington, pharmacists are required to register with the Prescription Monitoring Program (PMP), which is a state-run database of all controlled substance prescriptions dispensed in the state. The information collected regarding prescription drugs dispensed allows prescribers and pharmacists to monitor patients’ prescription drug use, which helps reduce the risk of abuse and misuse. Overall, managed care programs can be used in Washington to obtain prescriptions, but with certain limitations and restrictions in place.

Are there any restrictions or limitations on the use of managed care programs to obtain prescription drugs?

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