Loading chat...
HI SB2365
Bill
AI Summary
-
Establishes prescription drug reimbursement limits in workers' compensation claims at 140% of average wholesale price (AWP) as listed in the Red Book pharmacy reference, effective immediately after work injury.
-
Requires repackaged, relabeled, and compounded prescription drugs to include the original manufacturer's National Drug Code; if unknown, reimbursement based on the most closely related drug product listed in the Red Book.
-
Mandates substitution of equivalent generic drugs for brand name pharmaceuticals unless the prescribing physician certifies the injured employee's condition does not tolerate generic substitution.
-
Applies the same prescription drug pricing protections to motor vehicle personal injury protection (PIP) benefits by requiring them to follow workers' compensation medical fee schedule rates unless modified by the Insurance Commissioner.
-
Takes effect July 1, 2014.
Legislative Description
Insurance Claims; Prescription Drugs; Reimbursement Rates; Workers' Compensation; Motor Vehicle Insurance Benefits
Last Action
Became law without the Governor's signature, Act 231, 7/8/2014, (Gov. Msg. No. 1341).
7/8/2014