(a) Provided to a medical assistance recipient who is not enrolled in a coordinated care organization or a prepaid managed care health services organization;
(b) That is within the lawful scope of practice of a pharmacist; and
(c) If the authority determines the service is within the types and extent of health care and services to be provided to medical assistance recipients under ORS 414.065.
(2) A coordinated care organization may reimburse a pharmacist or pharmacy for any health service:
(a) Provided to a medical assistance recipient who is enrolled in the coordinated care organization or a prepaid managed care health services organization that enters into a clinical pharmacy agreement with the pharmacist or pharmacy; and
(b) That is within the lawful scope of practice of a pharmacist. [2015 c.362 §6]
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