AR SB466

Beginning January 1, 2017, health carriers offering qualified health plans must post formulary lists and related information on the public portion of their websites in readily accessible format.

Posted information must include the qualified health plan to which the formulary applies and any exclusions from coverage or restrictions.

Coverage exclusions and restrictions must specify tiering structures with copay and coinsurance requirements, prior authorization requirements, step-therapy requirements, deductibles and cost sharing, and quantity limits.

Posted information must disclose whether prescription drug access is dependent upon the location where the drug is obtained or administered.

Health carriers must post the appeal process for denials of coverage or adverse determinations related to prescription drugs.