New York Elder Law Title 3 - PROGRAM FOR ELDERLY PHARMACEUTICAL INSURANCE COVERAGE
- 240 - Short Title.
This title shall be known and may be cited as the "program for elderly pharmaceutical insurance coverage".
- 241 - Definitions.
For purposes of this title, the terms: 1. "Covered drug" shall mean a drug dispensed subject to a legally authorized prescription pursuant to section sixty-eight...
- 242 - Program Eligibility.
1. Persons eligible for comprehensive coverage under section two hundred forty-seven of this title shall include: (a) any unmarried resident who is at least sixty-five...
- 243 - Pharmaceutical Insurance Contract.
1. The commissioner of health shall, subject to the approval of the director of the budget, enter into a contract with one or more contractors...
- 244 - Powers of the Commissioner of Health.
The powers of the commissioner of health in administering the elderly pharmaceutical insurance coverage program shall include but not be limited to the following: 1....
- 246 - Regulations.
Program regulations shall: 1. Provide for a process of determining and redetermining eligibility for participation in this program including provisions for submission of proof of...
- 247 - Cost-Sharing Responsibilities of Eligible Program Participants for Comprehensive Coverage.
1. Registration fee. Eligible individuals meeting the registration fee requirements of this section may purchase prescribed covered drugs for an amount specified by subdivision three...
- 248 - Cost-Sharing Responsibilities of Eligible Program Participants for Catastrophic Coverage.
1. Deductible. Eligible individuals meeting the deductible requirements of this section may purchase prescribed covered drugs for an amount specified by subdivision three of this...
- 249 - Participating Provider Pharmacies.
1. The state shall offer an opportunity to participate in this program to all provider pharmacies as defined in section two hundred forty-one of this...
- 250 - Reimbursement to Participating Provider Pharmacies.
1. The amount of reimbursement which shall be paid by the state to a participating provider pharmacy for any covered drug filled or refilled for...
- 251 - Penalties for Fraud and Abuse.
1. Any person who knowingly makes a false statement or representation, or who by deliberate concealment of any material fact, or by impersonation or other...
- 252 - Procedures for Determinations Relating to Package, or Form of Dosage or Administration, of Certain Drugs.
1. If the department of health makes an initial determination that a particular package, or form of dosage or administration, of a drug shall be...
- 253 - Utilization of Out-Of-state Provider Pharmacies; Necessity and Convenience.
1. In counties having a population of seventy-five thousand or less that are in proximity to the state boundary and which are determined by the...
- 254 - Cost of Living Adjustment.
1. Within amounts appropriated, the commissioner of health shall adjust the program eligibility standards set forth in subdivision two of section two hundred forty-two of...
Last modified: February 3, 2019