R270-1-18. Prescription or Over-the-Counter Medications

Latest version.

  (1) Reimbursement of prescription or over-the-counter medications and/or medication management services used in conjunction with mental health therapy shall be considered only for the duration of an approved Treatment Plan.

  (2) Reimbursement of prescription or over-the-counter medications used in conjunction with medical treatment shall be considered only during the course of treatment by the physician.

  (3) Medication management rates shall be limited to a maximum of $62.50 per thirty minute session.

  (4) The office shall pay the amount that would be paid by PEHP for prescription medications dispensed by a pharmacy, not including those included in R270-1-23.

                    
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