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agreements with EOHHS, and in accordance with the criteria described below: a. Availability of suitable within-class generic substitutes or out-of- class alternatives. b. Drugs with a narrow therapeutic range that are regarded as the standard of care for treating specific conditions. c. Relative disruptions in care that may be brought on by changing treatment from one drug to another. d. Relative medical management concerns for drugs that can only be used to treat patients with specific co-morbidities. e. Relative clinical advantages and disadvantages of drugs within a therapeutic class. f. Cost differentials between brand and generic alternatives. g. Drugs that are required under Federal and State Regulations. h. Demonstrated medical necessity and lack of efficacy on a case by case basis. 2. Non-emergency transportation (NEMT) policy. Responsibility for transportation services rests first with the member. If the member's condition, place of residence, or the location of medical provider does not permit the use of bus transportation, NEMT for the Medicaid enrollee may be arranged for by EOHHS or its agent for transportation to a Medicaid- covered service from a Medicaid-participating provider. NEMT service includes bus passes, and other RIPTA fare products, if authorized by EOHHS or its agent. 3. Interpretation services policy. EOHHS will notify the health plan when it knows of members who do not speak English as a first language who have either selected or been assigned to the plan. If the health plan has more than fifty (50) members who speak a single language, it must make available general written materials, such as its member handbook, in that language. a. Written material must be available in alternative formats, such as audio and large print, and in an appropriate manner that takes into consideration the special needs of those who are visually limited or have limited reading proficiency. All written materials for potential enrollees must include taglines in the prevalent non-English languages in the State, as well as large print, explaining the availability of written translations or oral interpretation to understand