R414-60-2. Definitions

  (1) "Covered outpatient drug" means a drug that meets all of the following criteria:

  (a) Requires a prescription for dispensing;

  (b) Has a National Drug Code number;

  (c) Is eligible for Federal Medical Assistance Percentages funds;

  (d) Has been approved by the Food and Drug Administration; and

  (e) Is listed in the nationally recognized drug pricing index under contract with the Department.

  (2) "Full-benefit dual eligible beneficiary" means an individual who has Medicare and Medicaid benefits.

  (3) "Rural pharmacy" means a pharmacy located in the state of Utah, which is outside of Weber County, Davis County, Utah County, and Salt Lake County.

  (4) "Urban pharmacy" means a pharmacy located in Weber County, Davis County, Utah County, Salt Lake County, or in another state.

  (5) "Usual and customary charge" is the lowest amount a pharmacy charges the general public for a covered outpatient drug, which reflects all advertised savings, discounts, special promotions, or any other program available to the general public.