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HI SB2656
Bill
Status
3/6/2018
Primary Sponsor
Rosalyn Baker
Click for details
AI Summary
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Requires health insurers, mutual benefit societies, and health maintenance organizations to permit medication synchronization by applying prorated daily cost-sharing rates for prescriptions dispensed for less than a 30-day supply when patients request or agree to partial supplies.
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Prohibits insurers from denying coverage for maintenance medications dispensed as partial supplies for synchronization purposes and requires network pharmacies to override "refill too soon" denial codes.
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Mandates that dispensing fees for partially filled prescriptions be paid in full for each prescription dispensed, regardless of any prorated copayment or synchronization service fees.
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Allows network pharmacies to identify an anchor prescription to which other prescriptions may be synchronized, with medications in unbreakable packages (eye drops, inhalers, creams, ointments) automatically designated as anchor prescriptions.
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Excludes Schedule II narcotic controlled substances from medication synchronization eligibility and amends the definition of pharmacy practice to include adjusting prescription supply for medication synchronization purposes; effective July 1, 2050 and repealed July 1, 2023.
Legislative Description
Relating To Medication Synchronization.
Health Insurance
Last Action
Referred to HHS, CPC, FIN, referral sheet 36
3/8/2018