S.D. Admin. R. 67:16:14:21

Current through Register Vol. 50, page 162, June 24, 2024

Section 67:16:14:21 - Notice to providers when drug is to be placed on list

At least 30 days before the department implements the prior authorization requirements for a particular drug, the department shall provide a written notice to providers. The notice shall contain the following information:

(1) The date on which the department intends to begin requiring prior authorization for the drug;

(2) The name or names of alternative, therapeutically equivalent drugs that do not require prior authorization and which may be substituted;

(3) A statement that the pharmacist or prescribing medical professional must seek prior approval from the department if the medical professional chooses not to use one of the alternative drugs available; and

(4) A statement that the recipient is responsible for the cost of the drug if prior approval is not obtained or a therapeutically equivalent drug is not substituted.

S.D. Admin. R. 67:16:14:21

32 SDR 129, effective 2/1/2006.

General Authority: SDCL 28-6-1.

Law Implemented: SDCL 28-6-1.