Proposed Actions for Pharmacy Prescription Limit

The South Carolina Department of Health and Human Services (SCDHHS) gives notice of the following proposed actions regarding the monthly prescription limit under the State Plan under Title XIX of the Social Security Act Medical Assistance Program (Medicaid).

SCDHHS proposes to amend the South Carolina Title XIX State Plan to remove the limitation that adult beneficiaries only receive four prescriptions per month. The amendment is to apply to dates of service on or after July 1, 2017.

SCDHHS estimates an initial budget impact of approximately $750,000 annually for the fee-for-service pharmacy benefit. The costs of enhancing prescription coverage will be substantially offset by rebates due from pharmaceutical manufacturers and healthcare costs savings as beneficiaries are avoiding more costly modes of care.

Copies of this notice are available at each County SCDHHS Office and at www.scdhhs.gov for public review. Additional information regarding this proposed action is available upon request at the address cited below.

Written comments may be sent to the Office of Health Programs, SCDHHS, Post Office Box 8206, Columbia, South Carolina 29202-8206. Comments may also be submitted to comments@scdhhs.gov. Written and e-mailed comments must be received by close of business June 23, 2017.

Any written comments submitted may be reviewed by the public at the SCDHHS, Office of Health Programs, Jefferson Square Building, 1801 Main Street, Columbia, South Carolina, Monday through Friday between the hours of 9:00 A.M. and 5:00 P.M.