Use of generic medicine beneath the pharmacy advantages program. Special copayment rule for OTC drugs within the retail pharmacy network. As a general rule, OTC drugs positioned on the uniform formulary underneath paragraph of this section may have copayments equal to those for generic medication on the uniform formulary. However, upon the advice of the Pharmacy and Therapeutics Committee and approval of the Director, DHA, the copayment could also be established at $0.00 for any explicit OTC drug in the retail pharmacy network.

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Includes scientific laboratory examinations, x-ray examinations, pathological examinations, and machine tests that produce hard-copy results. Also consists of CT scanning under certain restricted situations. Includes durable medical equipment, medical provides important to a surgical process , sterile trays, casts, and orthopedic hardware.