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NC H744
Bill
Status
4/14/2015
Primary Sponsor
Christopher Malone
Click for details
AI Summary
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Creates new insurance coverage requirement for abuse-deterrent opioid analgesics under G.S. 58-50-305, applying to all health benefit plans that cover prescription drugs.
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Requires insurers to provide coverage for abuse-deterrent opioid analgesics on no less favorable terms than non-abuse-deterrent opioid analgesics, with cost-sharing not exceeding the lowest cost-sharing level for prescription drugs in the plan.
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Prohibits insurers from requiring insured individuals to try non-abuse-deterrent opioid analgesics before covering abuse-deterrent versions, though prior authorization may be required if applied equally to non-abuse-deterrent versions.
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Defines abuse-deterrent opioid analgesic as a brand or generic opioid drug product approved by the FDA with abuse-deterrence labeling claims indicating meaningful reduction in abuse.
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Effective October 1, 2015, applying to insurance contracts issued, renewed, or amended on or after that date.
Legislative Description
Abuse-Deterrent Opioid Analgesics
Last Action
Re-ref Com On Insurance
4/20/2015