Section 182-530-4150 - Therapeutic interchange program (TIP) This section contains the medicaid agency's rules for the endorsing practitioner therapeutic interchange program (TIP). TIP is established under RCW 69.41.190 and 70.14.050.
(1) TIP applies only to drugs: (a) Within therapeutic classes on the Washington preferred drug list (Washington PDL);(b) Included in a motion passed by the pharmacy and therapeutics (P&T) committee; and(c) Prescribed by an endorsing practitioner.(2) TIP does not apply to a drug when:(a) The P&T committee determines that TIP does not apply to the drug or its therapeutic class on the Washington PDL;(b) Prescribed by a nonendorsing practitioner;(c) The endorsing practitioner signs the prescription "dispense as written (DAW)"; or(d) Otherwise prohibited under RCW 69.41.190.(3) The agency may impose nonendorsing status on an endorsing practitioner only under the circum-stances outlined in RCW 69.41.190.(4) Except as otherwise provided in subsection (5) of this section, the agency may restrict a client's first course of treatment within a therapeutic class, according to the provisions in RCW 69.41.190.(5) In accordance with WAC 182-530-4125(3) and 182-501-0165, the agency will request and review the endorsing practitioner's medical justification for preferred and nonpre-ferred brand name drugs and nonpreferred generic drugs for the client's first course of treatment.Wash. Admin. Code § 182-530-4150
Amended by WSR 16-01-046, Filed 12/9/2015, effective 1/9/2016Amended by WSR 17-07-001, Filed 3/1/2017, effective 4/1/201711-14-075, recodified as § 182-530-4150, filed 6/30/11, effective 7/1/11. Statutory Authority: RCW 74.04.050, 74.09.700, 74.08.090, 2009 c 575. 10-06-011, § 388-530-4150, filed 2/19/10, effective 3/22/10. Statutory Authority: RCW 74.04.050, 74.08.090, 74.09.700, 2008 c 245. 08-21-107, § 388-530-4150, filed 10/16/08, effective 11/16/08. Statutory Authority: RCW 74.04.050, 74.08.090, 74.09.530, and 74.09.700. 07-20-049, § 388-530-4150, filed 9/26/07, effective 11/1/07.