The MO HealthNet Division (MHD) is responding to an outbreak of respiratory disease caused by a novel (new) coronavirus. The virus has been named "SARS-CoV-2" and the disease it causes has been named "coronavirus disease 2019" (abbreviated "COVID-19").
MHD is waiving all copays, including the shared dispensing fee for pharmacy services, for the duration of the COVID-19 pandemic effective immediately. MHD has contacted the pharmacy switch vendors to modify the copay requirements. Until these changes are made pharmacies will need to manually waive copays.
On March 13, 2020, Governor Parsons issued Executive Order 20-02, which declared a State of Emergency after confirmed and/or presumptive positive cases of COVID-19 in Missouri. Governor Parsons subsequently issued Executive Order 20-04, which give the Department of Social Services authority to temporarily waive or suspend the operation of statutory rule or administrative requirements to best serve public health and safety.
Pursuant to Executive Order 20-04, the following provisions of Missouri law are being waived during the State of Emergency subject to the following restrictions/requirements:
13 CSR 70-4.051 Copayment for Pharmacy Services: All pharmacy claims shall be exempted from copayment.