16 Del. Admin. Code § 30000-30307

Current through Register Vol. 28, No. 7, January 1, 2025

Section 30000-30307 - No Other Prescription Drug Coverage

Revised July 2018

The individual must not have or must be ineligible for, prescription drug benefits or coverage through federal (excluding Medicare Part D coverage), state, or private sources regardless of any annual limitations to the benefits.

The individual must not have or must be ineligible for:

a. Medicaid prescription benefits; and/or

b. Prescription drug benefits through a third party payer.

30307.1Exceptions to No Other Prescription Drug Coverage

Revised July 2018

Individuals who are eligible for the following drug benefits will not be excluded from eligibility for DPAP:

a. Individuals covered under a specific disease state insurance program, for example a policy that pays only for cancer drugs

b. Individuals who are members of a discount drug program in which the policy does not actually pay for the drugs, for example American Association of Retired Persons (AARP)

c. Individuals eligible for drug coverage through the Division of Vocational Rehabilitation

d. Individuals eligible for drug coverage through the Division of Substance Abuse and Mental Health; and

e. Individuals covered under Medicare Part D.

16 Del. Admin. Code § 30000-30307

22 DE Reg. 595 (1/1/2019) (Final)