Page 2868

available, as reported in wholesale price guides or other publications of drug pricing data. (Eff. 2/1/2010, Register 193; am 1/1/2011, Register 196; am 5/18/2014, Register 210; am 1/10/2021, Register 237) Statutory Authority: Authority: AS 47.05.010 AS 47.07.030 AS 47.07.040 7 AAC 145.410. Dispensing fee. (a) Except as provided under (b) of this section, and in accordance with the following, the department will pay a dispensing fee for a covered outpatient drug if the claim satisfies all coverage criteria under 7 AAC 120.110 — 7 AAC 120.140:

(1) to a nontribal pharmacy located on the road system, $15.03 to be paid not more than once every 22 days per pharmacy per covered outpatient drug;

(2) to a nontribal pharmacy not located on the road system, $26.94 to be paid not more than once every 22 days per pharmacy per covered outpatient drug;

(3) to a tribal pharmacy, $28.21 to be paid not more than once every 22 days per pharmacy per covered outpatient drug;

(4) to a nontribal or tribal mediset pharmacy, $16.58 to be paid not more than once every 14 days per pharmacy per covered outpatient drug;

(5) to an out-of-state pharmacy, $10.76 to be paid not more than once every 22 days per pharmacy per covered outpatient drug;

(6) the dispensing fee for a compounded covered outpatient drug is the applicable fee listed in (1) — (5) of this subsection;

(7) a claim submitted by a provider for the same covered outpatient drug for which a dispensing fee was paid within the last 14 or 22 days, as applicable under (1) — (6) of this subsection, will be paid without the dispensing fee listed in (1) — (6) of this subsection. (Eff. 2/1/2010, Register 193; am 1/1/2011, Register 196; am 9/7/2011, Register 199; am 1/4/2012, Register 201; am 5/18/2014, Register 210; am 6/16/2016, Register 218; am 7/1/2019, Register 231; am 4/24/2020, Register 234; am 1/10/2021, Register 237; am 8/16/2024, Register 251) Statutory Authority:

loading…

Page 2868

Official source

(1) to a nontribal pharmacy located on the road system, $15.03 to be paid not more than once every 22 days per pharmacy per covered outpatient drug;

(2) to a nontribal pharmacy not located on the road system, $26.94 to be paid not more than once every 22 days per pharmacy per covered outpatient drug;

(3) to a tribal pharmacy, $28.21 to be paid not more than once every 22 days per pharmacy per covered outpatient drug;

(4) to a nontribal or tribal mediset pharmacy, $16.58 to be paid not more than once every 14 days per pharmacy per covered outpatient drug;

(5) to an out-of-state pharmacy, $10.76 to be paid not more than once every 22 days per pharmacy per covered outpatient drug;

(6) the dispensing fee for a compounded covered outpatient drug is the applicable fee listed in (1) — (5) of this subsection;