| (a) A health care managed care organization (MCO) must
ensure that a member has access to at least one network pharmacy within
15 miles from his or her residence.
(b) A health care MCO must ensure that a member has
access to at least one network pharmacy with 24-hour coverage within
75 miles of his or her residence.
(c) If a network pharmacy provider is not available
to a member within the mileage radius specified in subsection (a)
or (b) of this section, the health care MCO must submit to the Health
and Human Services Commission for approval data that indicates covered
outpatient pharmacy services are not available to the member within
the required distance.
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