MI SB0150

Requires insurers and health maintenance organizations offering prescription drug coverage to provide a program for synchronizing multiple maintenance prescription drugs when the insured, physician, and pharmacist agree it benefits chronic long-term care condition management.

Applies synchronization program only to covered drugs used for chronic long-term care conditions with available refills, excluding most controlled substances in schedules 2-5 (except anti-epileptic drugs).

Mandates that synchronized prescription drugs must meet all prior authorization requirements, be formulatable for short fill periods, and not violate quantity limits or dose optimization criteria.

Requires insurers and health maintenance organizations to apply prorated daily cost-sharing rates for maintenance prescription drugs dispensed through in-network pharmacies for synchronization purposes.

Prohibits reimbursement of prorated dispensing fees and requires full dispensing fees to be paid for each individual maintenance prescription drug dispensed.

Takes effect 365 days after enactment (effective date: March 15, 2017) and applies to policies, certificates, and contracts delivered or renewed in Michigan on or after that date.