Prescription Drugs . A monthly benefit limit applies for recipients older than 20. Medicaid considers extensions for maintenance medications. Family planning prescriptions, such as birth control pills, do not count against the monthly benefit limit. Medicaid recipients residing in nursing homes may receive unlimited benefits for prescription drugs covered by Medicaid.
Some medicines require prior approval.
Medicaid requires pharmacists to fill prescriptions with generic drugs unless a generic drug is not available. If a recipient wants the brand-name product instead of the generic drug, the recipient must pay for the prescription. If a recipient receives more than the allowed number of prescriptions a month, the pharmacist may bill Medicaid for the most expensive prescription. The pharmacist may fill only one month's supply of a prescription per month. Services include but are not limited to prosthetic devices, orthotic appliances, diapers, underpads, nutritional formulas, specialized wheelchairs, apnea monitors, and medical supplies.