<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.09.03.04" title_num="10" subtitle_num="09" chapter_num="03" heading="Covered Services.">
  <paragraph num="A.">
    <text>The Department shall cover:</text>
    <paragraph num="(1)">
      <text>Legend drugs except certain drugs for which federal financial participation is prohibited pursuant to 42 CFR §441.25;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Schedule V cough preparations;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Contraceptives;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Hypodermic needles and syringes;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Supplemental vitamins and mineral products given by nasogastric, jejunostomy, or gastrostomy tube in the home;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Enteric coated aspirin when prescribed for:</text>
      <paragraph num="(a)">
        <text>The treatment of arthritic conditions as certified on the prescription in the prescriber's own handwriting or by the dispenser after consultation with the prescriber; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>At least 250 tablets of 325 milligrams each, whether for initial prescriptions or refills.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(7)">
      <text>Nonlegend ferrous sulfate oral preparations in the following strengths, dosage forms, and quantities only:</text>
      <paragraph num="(a)">
        <text>Drops (125 milligrams per milliliter) in units of 50 milliliter dropper bottles;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Elixir (220 milligrams per 5 milliliters) in quantities of at least 473 milliliters;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Syrup (90 milligrams per 5 milliliters) in quantities of at least 473 milliliters; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Tablets (300 milligrams to 325 milligrams) in quantities of at least 100 tablets;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(8)">
      <text>Nonlegend chewable tablets of any ferrous salt if:</text>
      <paragraph num="(a)">
        <text>The tables are combined with vitamin C, multivitamins, multivitamins and minerals, or other minerals;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The participant is under 12 years old; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The quantity dispensed is at least 60 tablets and not more than a 100-day supply;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>Nonlegend ergocalciferol liquid (8,000 international units per milliliter); and</text>
    </paragraph>
    <paragraph num="(10)">
      <text>Any nonlegend drug determined by the Program to be cost effective.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Prescription Requirement.</text>
    <paragraph num="(1)">
      <text>Except as provided in §B(2) of this regulation, a prescription is required for all items to be covered under this regulation even if the item is not a legend drug or otherwise does not require a prescription under federal or State pharmacy law.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A prescription is not required for various forms of latex condoms or other drugs or products identified by the Program, each within the limits established by the Program.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>The Department may cover legend drugs not otherwise covered by §A of this regulation when:</text>
    <paragraph num="(1)">
      <text>The drugs are identified as necessary to address a drug shortage as identified by the United States Food and Drug Administration; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The Department determines the coverage of the drugs medically necessary.</text>
    </paragraph>
  </paragraph>
</regulation>