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CHAPTER 50-24.6MEDICAL ASSISTANCE DRUG USE REVIEW AND AUTHORIZATION50-24.6-01. Definitions. As used in this chapter, unless the context otherwise requires:1.&quot;Board&quot; means the drug use review board.2.&quot;Compendium&quot; means the American hospital formulary service drug information,<br>United States pharmacopeia-drug information, the DRUGDEX information system,<br>American medical association drug evaluations, or nonproprietary peer-reviewed<br>medical literature.3.&quot;Department&quot; means the department of human services.4.&quot;Drug use review&quot; means a program as described in 42 U.S.C. 1396r-8(g)(2).5.&quot;Drug use review criteria&quot; means standards approved by the board for use in<br>determining whether use of a drug is likely to be medically appropriate, to be<br>medically necessary, and not result in adverse medical outcomes.6.&quot;Prior authorization&quot; means a process requiring the prescriber or the dispenser to<br>verify with the department or the department's contractor that proposed medical use<br>of a particular drug for a medical assistance program recipient meets predetermined<br>criteria for coverage by the medical assistance program.50-24.6-02. Drug use review board.1.The board is established within the department for the implementation of a drug use<br>review program.2.The board consists of seventeen members.The pharmacy administrator of thedepartment and the medical consultant to the department are ex officio nonvoting<br>board members who shall provide administrative services to the board. A majority of<br>the appointed members must be physicians and pharmacists participating in the<br>medical assistance program. Four or more of the appointed members must have<br>experience with a drug use review process or have participated in programs in which<br>prior authorization is used. The appointed members of the board must be:a.Four physicians licensed in this state and actively engaged in the practice of<br>medicine, one of whom is a psychiatrist, appointed by the North Dakota<br>medical association;b.Two physicians licensed in this state and actively engaged in the practice of<br>medicine, appointed by the executive director of the department;c.Four pharmacists licensed in this state and actively engaged in the practice of<br>pharmacy, appointed by the North Dakota pharmaceutical association;d.Two pharmacists licensed in this state and actively engaged in the practice of<br>pharmacy, appointed by the executive director of the department;e.One individual who represents consumer interests, appointed by the governor;f.One pharmacist or physician representing the brand pharmaceutical industry<br>appointed by the pharmaceutical research and manufacturers of America; andg.One pharmacist or physician representing the generic pharmaceutical industry<br>appointed by the generic pharmaceutical association.Page No. 13.Appointed board members shall serve staggered three-year terms. An appointed<br>member may be reappointed for a period not to exceed three 3-year terms.Avacancy on the board must be filled for the balance of the unexpired term from the<br>appropriate board category as provided under subsection 2. The executive director<br>of the department may replace an appointed member of the board who fails to<br>attend three consecutive meetings of the board without advance excuse or who fails<br>to perform the duties expected of a board member. The pharmaceutical industry<br>representatives are nonvoting board members.4.Voting board members shall select a chairman and a vice chairman on an annual<br>basis from the board's voting membership.5.The board shall meet in person at least once every three months and may meet at<br>other times by teleconference or electronically at the discretion of the chairman. A<br>board member is entitled to receive from the department per diem compensation<br>and reimbursement of expenses as determined by the department, except that no<br>compensation under this section may be paid to any board member who receives<br>compensation or salary as a state employee or official.50-24.6-03. Duties of the board. The board shall:1.Cooperate with the department to create and implement a prospective and<br>retrospective drug use review program for outpatient prescription drugs under the<br>medical assistance program. This drug use review program must be based on a<br>compendium and drug use review criteria and must comply with 42 U.S.C.<br>1396r-8(g)(3).2.Advise and make recommendations regarding any rule proposed for adoption by the<br>department to implement the provisions of state and federal law related to drug use<br>review.3.Receive and consider information regarding the drug use review process which is<br>provided by the department and by interested parties, including prescribers who<br>treat significant numbers of patients under the department's medical assistance<br>program.4.Review and recommend to the department any drugs to be included on prior<br>authorization status.5.Review no less than once each year the status of the list of drugs that have been<br>placed on prior authorization.6.Review and approve the prior authorization program process used by the<br>department, including the process to accommodate the provision of a drug benefit in<br>an emergency situation.7.Propose remedial strategies to improve the quality of care and to promote effective<br>use of medical assistance program funds or recipient expenditures.50-24.6-04. Prior authorization program.1.The department shall develop and implement a prior authorization program that<br>meets the requirements of 42 U.S.C. 1396r-8(d) to determine coverage of drug<br>products when a medical assistance recipient's health care provider prescribes a<br>drug that is identified as requiring prior authorization. Authorization must be granted<br>for provision of the drug if:Page No. 2a.The drug not requiring prior authorization has not been effective, or with<br>reasonable certainty is not expected to be effective, in treating the recipient's<br>condition;b.The drug not requiring prior authorization causes or is reasonably expected to<br>cause adverse or harmful reactions to the health of the recipient; orc.The drug is prescribed for a medically accepted use supported by a<br>compendium or by approved product labeling unless there is a therapeutically<br>equivalent drug that is available without prior authorization.2.For any drug placed on the prior authorization program, the department shall provide<br>medical and clinical criteria, cost information, and utilization data to the drug use<br>review board for review and consideration. The board may consider department<br>data and information from other sources to make a decision about placement of the<br>drug on prior authorization.3.Except for quantity limits that may be no less than the pharmaceutical<br>manufacturer's package insert, or brand name drugs with a generic equivalent drug<br>for which the cost to the state postrebate is less than the brand name drugs, in the<br>aggregate, the department may not prior authorize the following medication classes:a.Antipsychotics;b.Antidepressants;c.Anticonvulsants;d.Antiretrovirals, for the treatment of human immunodeficiency virus;e.Antineoplastic agents, for the treatment of cancer; andf.Stimulant medication used for the treatment of attention deficit disorder and<br>attention deficit hyperactivity disorder.4.The department may use contractors to collect and analyze the documentation<br>required under this section and to facilitate the prior authorization program.5.The department shall consult with the board in the course of adopting rules to<br>implement the prior authorization program. The rules must:a.Establishpoliciesandproceduresnecessarytoimplementthepriorauthorization program.b.Develop a process that allows prescribers to furnish documentation required to<br>obtain approval for a drug without interfering with patient care activities.c.Allow the board to establish panels of physicians and pharmacists which<br>provide expert guidance and recommendations to the board in considering<br>specific drugs or therapeutic classes of drugs to be included in the prior<br>authorization program.50-24.6-05. Public notice - Applicability.1.The department shall provide thirty days' notice of all meetings of the board. The<br>notice requirement is met if the department provides notice of the meeting on the<br>department's web site and provides, by written or electronic means, individual notice<br>to each person that has requested such notice. If the meeting agenda includes<br>board consideration of a change to the prior authorization program, the departmentPage No. 3shall include in the notice a list of the affected drugs, and upon request the board<br>shall provide background information. Any interested party may attend a meeting of<br>the board and provide information or recommendations related to the inclusion of a<br>drug in a prior authorization program.2.The department shall post on the department's web site:a.The most current and applicable list of drugs requiring prior authorization,<br>together with any limits on coverage of these drugs.b.In downloadable format, forms necessary to complete prior authorization<br>requests.c.Decisions regarding changes to the prior authorization program list.Thedepartment shall allow a period of no less than thirty days for public comment<br>following posting on the web site.d.Meeting notice.3.The department may not discontinue the provision of prescription drug benefits<br>being provided to medical assistance recipients before April 14, 2003, based solely<br>on the subsequent placement of the drug on the prior authorization program.50-24.6-06. Grievances. Expired under S.L. 2003, ch. 430, <meta property="og:url" content="https://statutes.laws.com/test/" /> <meta property="og:site_name" content="Statutes" /> <meta property="article:modified_time" content="2019-12-27T23:25:16+00:00" /> <meta name="twitter:card" content="summary_large_image" /> <h2>State Codes and Statutes</h2> <a href='https://statutes.laws.com/'>Statutes</a> > <a href='https://statutes.laws.com/north-dakota'>North-dakota</a> > <a href='https://statutes.laws.com/north-dakota/t50'>T50</a> > <a href='https://statutes.laws.com/north-dakota/t50/t50c246'>T50c246</a><br><br><a href="https://law.justia.com/codes/north-dakota/2009/t50/pdf/t50c246.pdf">Download pdf</a><br><div id="embed_document" style="width:625px; height:815px; text-align:center;">Loading PDF...</div><script type="text/javascript"> var pdf_url = 'https://law.justia.com/codes/north-dakota/2009/t50/pdf/t50c246.pdf'; $(document).ready(function() { var embedwindow = $("#embed_document"); if ($.browser.msie){ embedwindow.html('<embed src="'+pdf_url+'" width="100%" height="100%"></embed>'); } else { embedwindow.html('<iframe style="width:100%; height:100%;" src="https://docs.google.com/gview?url='+window.escape(pdf_url)+'&embedded=true" frameborder="0"></iframe>'); } });</script><br><br><noframes>CHAPTER 50-24.6MEDICAL ASSISTANCE DRUG USE REVIEW AND AUTHORIZATION50-24.6-01. Definitions. As used in this chapter, unless the context otherwise requires:1.&quot;Board&quot; means the drug use review board.2.&quot;Compendium&quot; means the American hospital formulary service drug information,<br>United States pharmacopeia-drug information, the DRUGDEX information system,<br>American medical association drug evaluations, or nonproprietary peer-reviewed<br>medical literature.3.&quot;Department&quot; means the department of human services.4.&quot;Drug use review&quot; means a program as described in 42 U.S.C. 1396r-8(g)(2).5.&quot;Drug use review criteria&quot; means standards approved by the board for use in<br>determining whether use of a drug is likely to be medically appropriate, to be<br>medically necessary, and not result in adverse medical outcomes.6.&quot;Prior authorization&quot; means a process requiring the prescriber or the dispenser to<br>verify with the department or the department's contractor that proposed medical use<br>of a particular drug for a medical assistance program recipient meets predetermined<br>criteria for coverage by the medical assistance program.50-24.6-02. Drug use review board.1.The board is established within the department for the implementation of a drug use<br>review program.2.The board consists of seventeen members.The pharmacy administrator of thedepartment and the medical consultant to the department are ex officio nonvoting<br>board members who shall provide administrative services to the board. A majority of<br>the appointed members must be physicians and pharmacists participating in the<br>medical assistance program. Four or more of the appointed members must have<br>experience with a drug use review process or have participated in programs in which<br>prior authorization is used. The appointed members of the board must be:a.Four physicians licensed in this state and actively engaged in the practice of<br>medicine, one of whom is a psychiatrist, appointed by the North Dakota<br>medical association;b.Two physicians licensed in this state and actively engaged in the practice of<br>medicine, appointed by the executive director of the department;c.Four pharmacists licensed in this state and actively engaged in the practice of<br>pharmacy, appointed by the North Dakota pharmaceutical association;d.Two pharmacists licensed in this state and actively engaged in the practice of<br>pharmacy, appointed by the executive director of the department;e.One individual who represents consumer interests, appointed by the governor;f.One pharmacist or physician representing the brand pharmaceutical industry<br>appointed by the pharmaceutical research and manufacturers of America; andg.One pharmacist or physician representing the generic pharmaceutical industry<br>appointed by the generic pharmaceutical association.Page No. 13.Appointed board members shall serve staggered three-year terms. An appointed<br>member may be reappointed for a period not to exceed three 3-year terms.Avacancy on the board must be filled for the balance of the unexpired term from the<br>appropriate board category as provided under subsection 2. The executive director<br>of the department may replace an appointed member of the board who fails to<br>attend three consecutive meetings of the board without advance excuse or who fails<br>to perform the duties expected of a board member. The pharmaceutical industry<br>representatives are nonvoting board members.4.Voting board members shall select a chairman and a vice chairman on an annual<br>basis from the board's voting membership.5.The board shall meet in person at least once every three months and may meet at<br>other times by teleconference or electronically at the discretion of the chairman. A<br>board member is entitled to receive from the department per diem compensation<br>and reimbursement of expenses as determined by the department, except that no<br>compensation under this section may be paid to any board member who receives<br>compensation or salary as a state employee or official.50-24.6-03. Duties of the board. The board shall:1.Cooperate with the department to create and implement a prospective and<br>retrospective drug use review program for outpatient prescription drugs under the<br>medical assistance program. This drug use review program must be based on a<br>compendium and drug use review criteria and must comply with 42 U.S.C.<br>1396r-8(g)(3).2.Advise and make recommendations regarding any rule proposed for adoption by the<br>department to implement the provisions of state and federal law related to drug use<br>review.3.Receive and consider information regarding the drug use review process which is<br>provided by the department and by interested parties, including prescribers who<br>treat significant numbers of patients under the department's medical assistance<br>program.4.Review and recommend to the department any drugs to be included on prior<br>authorization status.5.Review no less than once each year the status of the list of drugs that have been<br>placed on prior authorization.6.Review and approve the prior authorization program process used by the<br>department, including the process to accommodate the provision of a drug benefit in<br>an emergency situation.7.Propose remedial strategies to improve the quality of care and to promote effective<br>use of medical assistance program funds or recipient expenditures.50-24.6-04. Prior authorization program.1.The department shall develop and implement a prior authorization program that<br>meets the requirements of 42 U.S.C. 1396r-8(d) to determine coverage of drug<br>products when a medical assistance recipient's health care provider prescribes a<br>drug that is identified as requiring prior authorization. Authorization must be granted<br>for provision of the drug if:Page No. 2a.The drug not requiring prior authorization has not been effective, or with<br>reasonable certainty is not expected to be effective, in treating the recipient's<br>condition;b.The drug not requiring prior authorization causes or is reasonably expected to<br>cause adverse or harmful reactions to the health of the recipient; orc.The drug is prescribed for a medically accepted use supported by a<br>compendium or by approved product labeling unless there is a therapeutically<br>equivalent drug that is available without prior authorization.2.For any drug placed on the prior authorization program, the department shall provide<br>medical and clinical criteria, cost information, and utilization data to the drug use<br>review board for review and consideration. The board may consider department<br>data and information from other sources to make a decision about placement of the<br>drug on prior authorization.3.Except for quantity limits that may be no less than the pharmaceutical<br>manufacturer's package insert, or brand name drugs with a generic equivalent drug<br>for which the cost to the state postrebate is less than the brand name drugs, in the<br>aggregate, the department may not prior authorize the following medication classes:a.Antipsychotics;b.Antidepressants;c.Anticonvulsants;d.Antiretrovirals, for the treatment of human immunodeficiency virus;e.Antineoplastic agents, for the treatment of cancer; andf.Stimulant medication used for the treatment of attention deficit disorder and<br>attention deficit hyperactivity disorder.4.The department may use contractors to collect and analyze the documentation<br>required under this section and to facilitate the prior authorization program.5.The department shall consult with the board in the course of adopting rules to<br>implement the prior authorization program. The rules must:a.Establishpoliciesandproceduresnecessarytoimplementthepriorauthorization program.b.Develop a process that allows prescribers to furnish documentation required to<br>obtain approval for a drug without interfering with patient care activities.c.Allow the board to establish panels of physicians and pharmacists which<br>provide expert guidance and recommendations to the board in considering<br>specific drugs or therapeutic classes of drugs to be included in the prior<br>authorization program.50-24.6-05. Public notice - Applicability.1.The department shall provide thirty days' notice of all meetings of the board. The<br>notice requirement is met if the department provides notice of the meeting on the<br>department's web site and provides, by written or electronic means, individual notice<br>to each person that has requested such notice. If the meeting agenda includes<br>board consideration of a change to the prior authorization program, the departmentPage No. 3shall include in the notice a list of the affected drugs, and upon request the board<br>shall provide background information. Any interested party may attend a meeting of<br>the board and provide information or recommendations related to the inclusion of a<br>drug in a prior authorization program.2.The department shall post on the department's web site:a.The most current and applicable list of drugs requiring prior authorization,<br>together with any limits on coverage of these drugs.b.In downloadable format, forms necessary to complete prior authorization<br>requests.c.Decisions regarding changes to the prior authorization program list.Thedepartment shall allow a period of no less than thirty days for public comment<br>following posting on the web site.d.Meeting notice.3.The department may not discontinue the provision of prescription drug benefits<br>being provided to medical assistance recipients before April 14, 2003, based solely<br>on the subsequent placement of the drug on the prior authorization program.50-24.6-06. Grievances. Expired under S.L. 2003, ch. 430, <script type="application/ld+json" class="yoast-schema-graph">{"@context":"https://schema.org","@graph":[{"@type":"WebPage","@id":"https://statutes.laws.com/test/","url":"https://statutes.laws.com/test/","name":"State Codes and Statutes - Statutes","isPartOf":{"@id":"https://statutes.laws.com/#website"},"datePublished":"2015-03-10T03:31:37+00:00","dateModified":"2019-12-27T23:25:16+00:00","breadcrumb":{"@id":"https://statutes.laws.com/test/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https://statutes.laws.com/test/"]}]},{"@type":"BreadcrumbList","@id":"https://statutes.laws.com/test/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://statutes.laws.com/"},{"@type":"ListItem","position":2,"name":"State Codes and Statutes"}]},{"@type":"WebSite","@id":"https://statutes.laws.com/#website","url":"https://statutes.laws.com/","name":"Statutes","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https://statutes.laws.com/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"}]}</script> <!-- / Yoast SEO Premium plugin. --> <link rel='dns-prefetch' href='//fonts.googleapis.com' /> <link rel="alternate" type="application/rss+xml" title="Statutes &raquo; Feed" href="https://statutes.laws.com/feed/" /> <script type="text/javascript"> /* <![CDATA[ */ window._wpemojiSettings = {"baseUrl":"https:\/\/s.w.org\/images\/core\/emoji\/14.0.0\/72x72\/","ext":".png","svgUrl":"https:\/\/s.w.org\/images\/core\/emoji\/14.0.0\/svg\/","svgExt":".svg","source":{"concatemoji":"https:\/\/statutes.laws.com\/wp-includes\/js\/wp-emoji-release.min.js?ver=e9ae2245a59484c8e270e38ea5c9a014"}}; /*! 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class="shortcode-content"> <h2>State Codes and Statutes</h2> <a href='https://statutes.laws.com/'>Statutes</a> > <a href='https://statutes.laws.com/north-dakota'>North-dakota</a> > <a href='https://statutes.laws.com/north-dakota/t50'>T50</a> > <a href='https://statutes.laws.com/north-dakota/t50/t50c246'>T50c246</a><br><br><a href="https://law.justia.com/codes/north-dakota/2009/t50/pdf/t50c246.pdf">Download pdf</a><br><div id="embed_document" style="width:625px; height:815px; text-align:center;">Loading PDF...</div><script type="text/javascript"> var pdf_url = 'https://law.justia.com/codes/north-dakota/2009/t50/pdf/t50c246.pdf'; $(document).ready(function() { var embedwindow = $("#embed_document"); if ($.browser.msie){ embedwindow.html('<embed src="'+pdf_url+'" width="100%" height="100%"></embed>'); } else { embedwindow.html('<iframe style="width:100%; height:100%;" src="https://docs.google.com/gview?url='+window.escape(pdf_url)+'&embedded=true" frameborder="0"></iframe>'); } });</script><br><br><noframes>CHAPTER 50-24.6MEDICAL ASSISTANCE DRUG USE REVIEW AND AUTHORIZATION50-24.6-01. Definitions. As used in this chapter, unless the context otherwise requires:1.&quot;Board&quot; means the drug use review board.2.&quot;Compendium&quot; means the American hospital formulary service drug information,<br>United States pharmacopeia-drug information, the DRUGDEX information system,<br>American medical association drug evaluations, or nonproprietary peer-reviewed<br>medical literature.3.&quot;Department&quot; means the department of human services.4.&quot;Drug use review&quot; means a program as described in 42 U.S.C. 1396r-8(g)(2).5.&quot;Drug use review criteria&quot; means standards approved by the board for use in<br>determining whether use of a drug is likely to be medically appropriate, to be<br>medically necessary, and not result in adverse medical outcomes.6.&quot;Prior authorization&quot; means a process requiring the prescriber or the dispenser to<br>verify with the department or the department's contractor that proposed medical use<br>of a particular drug for a medical assistance program recipient meets predetermined<br>criteria for coverage by the medical assistance program.50-24.6-02. Drug use review board.1.The board is established within the department for the implementation of a drug use<br>review program.2.The board consists of seventeen members.The pharmacy administrator of thedepartment and the medical consultant to the department are ex officio nonvoting<br>board members who shall provide administrative services to the board. A majority of<br>the appointed members must be physicians and pharmacists participating in the<br>medical assistance program. Four or more of the appointed members must have<br>experience with a drug use review process or have participated in programs in which<br>prior authorization is used. The appointed members of the board must be:a.Four physicians licensed in this state and actively engaged in the practice of<br>medicine, one of whom is a psychiatrist, appointed by the North Dakota<br>medical association;b.Two physicians licensed in this state and actively engaged in the practice of<br>medicine, appointed by the executive director of the department;c.Four pharmacists licensed in this state and actively engaged in the practice of<br>pharmacy, appointed by the North Dakota pharmaceutical association;d.Two pharmacists licensed in this state and actively engaged in the practice of<br>pharmacy, appointed by the executive director of the department;e.One individual who represents consumer interests, appointed by the governor;f.One pharmacist or physician representing the brand pharmaceutical industry<br>appointed by the pharmaceutical research and manufacturers of America; andg.One pharmacist or physician representing the generic pharmaceutical industry<br>appointed by the generic pharmaceutical association.Page No. 13.Appointed board members shall serve staggered three-year terms. An appointed<br>member may be reappointed for a period not to exceed three 3-year terms.Avacancy on the board must be filled for the balance of the unexpired term from the<br>appropriate board category as provided under subsection 2. The executive director<br>of the department may replace an appointed member of the board who fails to<br>attend three consecutive meetings of the board without advance excuse or who fails<br>to perform the duties expected of a board member. The pharmaceutical industry<br>representatives are nonvoting board members.4.Voting board members shall select a chairman and a vice chairman on an annual<br>basis from the board's voting membership.5.The board shall meet in person at least once every three months and may meet at<br>other times by teleconference or electronically at the discretion of the chairman. A<br>board member is entitled to receive from the department per diem compensation<br>and reimbursement of expenses as determined by the department, except that no<br>compensation under this section may be paid to any board member who receives<br>compensation or salary as a state employee or official.50-24.6-03. Duties of the board. The board shall:1.Cooperate with the department to create and implement a prospective and<br>retrospective drug use review program for outpatient prescription drugs under the<br>medical assistance program. This drug use review program must be based on a<br>compendium and drug use review criteria and must comply with 42 U.S.C.<br>1396r-8(g)(3).2.Advise and make recommendations regarding any rule proposed for adoption by the<br>department to implement the provisions of state and federal law related to drug use<br>review.3.Receive and consider information regarding the drug use review process which is<br>provided by the department and by interested parties, including prescribers who<br>treat significant numbers of patients under the department's medical assistance<br>program.4.Review and recommend to the department any drugs to be included on prior<br>authorization status.5.Review no less than once each year the status of the list of drugs that have been<br>placed on prior authorization.6.Review and approve the prior authorization program process used by the<br>department, including the process to accommodate the provision of a drug benefit in<br>an emergency situation.7.Propose remedial strategies to improve the quality of care and to promote effective<br>use of medical assistance program funds or recipient expenditures.50-24.6-04. Prior authorization program.1.The department shall develop and implement a prior authorization program that<br>meets the requirements of 42 U.S.C. 1396r-8(d) to determine coverage of drug<br>products when a medical assistance recipient's health care provider prescribes a<br>drug that is identified as requiring prior authorization. Authorization must be granted<br>for provision of the drug if:Page No. 2a.The drug not requiring prior authorization has not been effective, or with<br>reasonable certainty is not expected to be effective, in treating the recipient's<br>condition;b.The drug not requiring prior authorization causes or is reasonably expected to<br>cause adverse or harmful reactions to the health of the recipient; orc.The drug is prescribed for a medically accepted use supported by a<br>compendium or by approved product labeling unless there is a therapeutically<br>equivalent drug that is available without prior authorization.2.For any drug placed on the prior authorization program, the department shall provide<br>medical and clinical criteria, cost information, and utilization data to the drug use<br>review board for review and consideration. The board may consider department<br>data and information from other sources to make a decision about placement of the<br>drug on prior authorization.3.Except for quantity limits that may be no less than the pharmaceutical<br>manufacturer's package insert, or brand name drugs with a generic equivalent drug<br>for which the cost to the state postrebate is less than the brand name drugs, in the<br>aggregate, the department may not prior authorize the following medication classes:a.Antipsychotics;b.Antidepressants;c.Anticonvulsants;d.Antiretrovirals, for the treatment of human immunodeficiency virus;e.Antineoplastic agents, for the treatment of cancer; andf.Stimulant medication used for the treatment of attention deficit disorder and<br>attention deficit hyperactivity disorder.4.The department may use contractors to collect and analyze the documentation<br>required under this section and to facilitate the prior authorization program.5.The department shall consult with the board in the course of adopting rules to<br>implement the prior authorization program. The rules must:a.Establishpoliciesandproceduresnecessarytoimplementthepriorauthorization program.b.Develop a process that allows prescribers to furnish documentation required to<br>obtain approval for a drug without interfering with patient care activities.c.Allow the board to establish panels of physicians and pharmacists which<br>provide expert guidance and recommendations to the board in considering<br>specific drugs or therapeutic classes of drugs to be included in the prior<br>authorization program.50-24.6-05. Public notice - Applicability.1.The department shall provide thirty days' notice of all meetings of the board. The<br>notice requirement is met if the department provides notice of the meeting on the<br>department's web site and provides, by written or electronic means, individual notice<br>to each person that has requested such notice. If the meeting agenda includes<br>board consideration of a change to the prior authorization program, the departmentPage No. 3shall include in the notice a list of the affected drugs, and upon request the board<br>shall provide background information. Any interested party may attend a meeting of<br>the board and provide information or recommendations related to the inclusion of a<br>drug in a prior authorization program.2.The department shall post on the department's web site:a.The most current and applicable list of drugs requiring prior authorization,<br>together with any limits on coverage of these drugs.b.In downloadable format, forms necessary to complete prior authorization<br>requests.c.Decisions regarding changes to the prior authorization program list.Thedepartment shall allow a period of no less than thirty days for public comment<br>following posting on the web site.d.Meeting notice.3.The department may not discontinue the provision of prescription drug benefits<br>being provided to medical assistance recipients before April 14, 2003, based solely<br>on the subsequent placement of the drug on the prior authorization program.50-24.6-06. Grievances. 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