(a)A provider seeking payment for providing pharmacy services under 7 AAC 105 — 7 AAC 160 must be
(1)enrolled as a pharmacist or retail pharmacy in accordance with 7 AAC 105.210;
(2)submit verification of an active
(A)pharmacist license issued under AS 08.80; or
(B)retail pharmacy license issued under AS 08.80; and
(3)identify the floor space of the pharmacy in square feet.
(b)An out-of-state provider seeking payment for providing pharmacy services under 7 AAC 105 — 7 AAC 160 must
(1)be enrolled in accordance with 7 AAC 105.210;
(2)be enrolled in the Medicaid program in the jurisdiction where pharmacy services are provided;
(3)submit verification of an active pharmacist or retail pharmacy license in the jurisdiction where the pharmacy is located; and
(4)if the pharmacy ships, mails, or delivers prescription drugs to consumers in this state more than twice a year, submit verification of a valid pharmacy registration issued under AS 08.80.158.