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Delaware General AssemblyDelaware RegulationsMonthly Register of RegulationsApril 2013

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With respect to prescriptions dispensed on or after January 1, 2013, section 175 of the Medicare Improvement for Patients and Providers Act of 2008 (MIPPA) amended section 1860D-2(e)(2)(A) of the Social Security Act to include Medicare Part D coverage of barbiturates “used in the treatment of epilepsy, cancer, or a chronic mental health disorder” and benzodiazepines for all medically accepted indications. This coverage change will affect Medicaid beneficiaries that also have Medicare (dual eligible beneficiaries). Medicare will be responsible for payment for these drugs as previously indicated for dual eligible individuals as of January 1, 2013.
Description of State Plan Amendment (SPA) and Effective Date
STATE: DELAWARE
 The following excluded drugs are covered:
 (a) agents when used for anorexia, weight loss, weight gain (see specific drug
 (c) agents when used for cosmetic purposes or hair growth (see specific drug
 (d) agents when used for the symptomatic relief cough and colds see specific
 (e) prescription vitamins and mineral products, except prenatal vitamins and
 (f) nonprescription drugs (see specific drug categories below)
STATE: DELAWARE
1927(d)(2) and 1935(d)(2)  (g) covered outpatient drugs which the manufacturer seeks to require as a
 (h) barbiturates ALL [Except for dual eligible individuals, effective January 1,
and Providers Act of 2008 (MIPPA)] (see specific drug categories below)
 (i) benzodiazepines ALL [Except for dual eligible individuals, effective January 1,
and Providers Act of 2008 (MIPPA)] (see specific drug categories below)
STATE: DELAWARE
medications in these therapeutic categories [except for dual eligible individuals,
medications in these therapeutic categories [except for dual eligible individuals,
2) Drugs excluded from coverage by Delaware Medicaid as provided by Section 1927(d)(2) of the Act, include:
c. Opioid analgesics-200 doses per 30 days 720 immediate release doses per 365 days
Last Updated: December 31 1969 19:00:00.
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