| First fill of outpatient medications. | 
            04/21/2025 | 
            Final File | 
            Amendment | 
            119.03 | 
             | 
            05/01/2025 | 
             | 
            Y | 
            
                
                
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                     
                         
                    
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
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                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                
                                     
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | First fill of outpatient medications. | 
            02/14/2025 | 
            Original File | 
            Amendment | 
            119.03 | 
            03/18/2025 | 
             | 
             | 
            Y | 
            
                
                
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                     
                         
                    
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                            | Public Notice | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | RSFA Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                
                                     
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | `First fill of outpatient medications. | 
            07/18/2024 | 
            Final File | 
            Amendment | 
            119.03 | 
             | 
            08/01/2024 | 
             | 
            N | 
            
                
                
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                     
                         
                    
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
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                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                
                                     
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | `First fill of outpatient medications. | 
            05/13/2024 | 
            Original File | 
            Amendment | 
            119.03 | 
            06/13/2024 | 
             | 
             | 
            N | 
            
                
                
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                     
                         
                    
                    
                    
                    
                         
                        
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                            | Public Notice | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | RSFA Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                
                                     
                                
                             | 
                         
                        
                        
                            | Hearing Summary Report | 
                            
                                
                                     
                                
                                
                             | 
                         
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | `First fill of outpatient medications. | 
            01/22/2024 | 
            Final File | 
            Amendment | 
            119.03 | 
             | 
            02/01/2024 | 
             | 
            N | 
            
                
                
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                     
                         
                    
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                        
                        
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                
                                     
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | `First fill of outpatient medications. | 
            11/17/2023 | 
            Original File | 
            Amendment | 
            119.03 | 
            12/21/2023 | 
             | 
             | 
            N | 
            
                
                
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                     
                         
                    
                    
                    
                    
                         
                        
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                            | Public Notice | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | RSFA Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                
                                     
                                
                             | 
                         
                        
                        
                            | Hearing Summary Report | 
                            
                                
                                     
                                
                                
                             | 
                         
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | `First fill of outpatient medications. | 
            01/09/2023 | 
            Final File | 
            Amendment | 
            119.03 | 
             | 
            02/01/2023 | 
             | 
            N | 
            
                
                
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                     
                         
                    
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                        
                        
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                
                                     
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | `First fill of outpatient medications. | 
            11/03/2022 | 
            Original File | 
            Amendment | 
            119.03 | 
            12/08/2022 | 
             | 
             | 
            N | 
            
                
                
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                     
                         
                    
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                            | Public Notice | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | RSFA Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                
                                     
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | `First fill of outpatient medications. | 
            06/13/2022 | 
            Final File | 
            Amendment | 
            119.03 | 
             | 
            08/01/2022 | 
             | 
            N | 
            
                
                
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                     
                         
                    
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                        
                        
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                
                                     
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | `First fill of outpatient medications. | 
            04/07/2022 | 
            Original File | 
            Amendment | 
            119.03 | 
            05/17/2022 | 
             | 
             | 
            N | 
            
                
                
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                     
                         
                    
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                            | Public Notice | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | RSFA Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                
                                     
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | `First fill of outpatient medications. | 
            01/19/2022 | 
            Final File | 
            Amendment | 
            119.03 | 
             | 
            02/01/2022 | 
             | 
            N | 
            
                
                
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                     
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                        
                        
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                     
                                
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | `First fill of outpatient medications. | 
            11/12/2021 | 
            Original File | 
            Amendment | 
            119.03 | 
            12/20/2021 | 
             | 
             | 
            N | 
            
                
                
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                     
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                            | Public Notice | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | RSFA Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                     
                                
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | `First fill of outpatient medications. | 
            08/07/2020 | 
            Final File | 
            Amendment | 
            119.03 | 
             | 
            09/01/2020 | 
             | 
            Y | 
            
                
                
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                     
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                        
                        
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                     
                                
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | `First fill of outpatient medications. | 
            05/29/2020 | 
            Original File | 
            Amendment | 
            119.03 | 
            07/01/2020 | 
             | 
             | 
            Y | 
            
                
                
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                     
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                            | Public Notice | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | RSFA Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                     
                                
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | First fill of outpatient medications. | 
            12/30/2014 | 
            Final File | 
            New | 
            119.03 | 
             | 
            02/01/2015 | 
             | 
            N | 
            
                
                
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                     
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                        
                        
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                     
                                
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             | 
            
        
        
            
                
                
                
                
                
                
                
            
            | First fill of outpatient medications. | 
            10/24/2014 | 
            Original File | 
            New | 
            119.03 | 
            11/24/2014 | 
             | 
             | 
            N | 
            
                
                
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                     
                    
                    
                    
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
                    
                         
                    
                    
                    
             | 
            
                
                
                    
                    
                        
                            | Public Notice | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | RSFA Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Rule Body | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | Appendices | 
                            
                                
                                     
                                
                                
                             | 
                         
                        
                        
                        
                        
                            | CSI Business Impact Analysis | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Recommendation | 
                            
                                
                                     
                                
                             | 
                         
                        
                        
                            | CSI Agency Memorandum of Response | 
                            
                                
                                     
                                
                             | 
                         
                     
                 
             |