Cal. Code Regs. tit. 22 § 53912

Current through Register 2025 Notice Reg. No. 2, January 10, 2025
Section 53912 - Pharmaceutical Services and Prescribed Drugs
(a) Each PHP and PCCM plan shall provide, either directly or through subcontracts, the services of pharmacies and pharmacists. Pharmaceutical services shall be available to members during service site hours.
(b) Prescribed drugs shall be provided to members by licensed pharmacies and shall be reimbursed by the PHP or PCCM plan in which the member is enrolled. Professional standards reflected by reasonable and current prescribing practices, based on reference to current medical literature and consultation with provider organizations, academic and professional specialists, shall be met, including but not limited to Title 16, Sections 1707.1, 1707.2, and 1707.3.
(c) Prescribed drugs may include the provision of pre-packaged drugs dispensed under the direct supervision of the professionally licensed personnel of the PHP or PCCM plan after the plan has written approval granted by the department.
(d) Each dental plan shall provide written prescriptions to members as necessary, and shall instruct each member to fill any prescriptions at a pharmacy used by the PHP or PCCM plan in which the member is enrolled. The PHP or PCCM plan in which the member is enrolled shall reimburse the pharmacy for each prescription filled.

Cal. Code Regs. Tit. 22, § 53912

1. New section filed 3-11-94; operative 3-11-94; Submitted to OAL for printing only pursuant to section 147, SB 485 (Chapter 722, Statutes of 1992) (Register 94, No. 15).

Note: Authority cited: Sections 10725, 14089.7, 14105, 14124.5, 14203 and 14312, Welfare and Institutions Code. Reference: Sections 14089, 14132, 14133 and 14133.1, Welfare and Institutions Code.

1. New section filed 3-11-94; operative 3-11-94; Submitted to OAL for printing only pursuant to section 147, SB 485 (Chapter 722, Statutes of 1992) (Register 94, No. 15).