HI HB2145

Requires health insurers, mutual benefit societies, and health maintenance organizations to apply prorated daily cost-sharing rates for prescriptions dispensed for less than a thirty-day supply when patients request medication synchronization.

Prohibits insurers from denying coverage for partial supplies of maintenance medications when patients request synchronization and requires network pharmacies to override denial codes for prescriptions refilled too soon.

Mandates that dispensing fees for partially filled prescriptions be paid in full by insurers, regardless of any prorated copayment structure for medication synchronization.

Excludes schedule II narcotic controlled substances from medication synchronization eligibility and prevents medications in unbreakable packages (eye drops, inhalers, creams, ointments) from serving as anchor prescriptions.

Establishes medication synchronization as part of the practice of pharmacy in Hawaii, effective July 1, 2018.