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Coverage of prescribed drugs will be limited to legend drugs and insulin, except those designated by the Food and Drug Administration as not having been shown to be effective. Adult recipients are limited to 6 prescriptions per month. It is possible to over ride this limit for life sustaining medications. Pharmacists participating in the Medicaid program shall substitute the least expensive generic drugs in stock for brand or trade name drugs in the absence of a prescription specifically to the contrary (when the prescriber personally indicates on the prescription order "dispense as written."). The pharmacy of choice is that pharmacy selected by a recipient and who, at the time of payment holds the pharmacy stub from his Medicaid identification card. The recipient may change his pharmacy of choice at any time. A recipient may change his pharmacy by finding a pharmacy which participates in the North Carolina Medicaid Program which is willing to accept him as a client. No pharmacist is required to accept a new client. Pharmacists accept new clients by their own choice. |