Covered and Noncovered Services : Covered Services and Requirements

Prescriber Requirements

BadgerCare Plus, Medicaid, and SeniorCare cover medically necessary legend drugs and certain OTC drugs. Only certain licensed health professionals may prescribe legend drugs and OTC drugs according to Wis. Admin. Code § DHS 107.10(1). The professional must be authorized by Wisconsin Statutes or Wisconsin Administrative Code to prescribe legend and/or OTC drugs.

Prescribers may only prescribe items that are within their scope of practice. The following categories of licensed health professionals may prescribe covered legend drugs and OTC drugs:

• Dentist
• Doctor of Medicine
• Doctor of Osteopathy
• Advanced Practice Nurse Prescriber with a psychiatric specialty
• Optometrist
• Physician assistant
• Podiatrist