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supplies prescribed to treat a person who

(1) repealed 7/1/87;

(2) has a terminal illness;

(3) has cancer and requires chemotherapy; or

(4) has a specific chronic condition that would normally in its untreated course result in the death or disability of the recipient, but which is amenable to outpatient medication; the chronic conditions for which drugs will be reimbursed are limited to the following diagnoses:

(A) diabetes and diabetes insipidus;

(B) seizure disorders;

(C) chronic mental illness;

(D) hypertension. (c) Reimbursement to providers will be that computed under 7 AAC 43.591 for the medicaid program. (d) The division of medical assistance may not pay for more than a 30-day supply of a prescribed drug unless prior authorization has been obtained by the pharmacist from the division of medical assistance. (e) The division of medical assistance may not pay for non-prescription drugs, except insulin. The division of medical assistance may grant an exception based on written information submitted on a request for authorization form, which is available from the division of medical assistance. (f) The division of medical assistance may only pay for prescribed medical supplies that have been assigned a current specific billing code number by the division of medical assistance. The division of medical assistance may grant an exception based on written information submitted on a request for authorization form, which is available from the division of medical assistance. (Eff. 8/1/86, Register 99; am 11/28/86, Register 100; am 7/1/87, Register 103; am 2/1/89, Register 109; am 6/14/89, Register 110) Statutory Authority: Authority: Chapter 120, AS 08.80.295 AS 47.25.170

SLA 1988 AS 47.05.010