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OH HB453
Bill
Status
2/22/2010
Primary Sponsor
Barbara Boyd
Click for details
AI Summary
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Health insuring corporations, sickness and accident insurers, and public employee benefit plans must provide prior written notice to network health care providers, network pharmacies, network pharmacists, and covered individuals before removing prescription drugs from formularies, moving drugs to higher copay tiers, interchanging drugs, or adding utilization management requirements.
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Prescription drug coverage changes become effective on the renewal date of the affected policy, contract, or agreement, notwithstanding existing notice requirements in section 3901.71 of the Revised Code.
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"Interchange" is defined as substituting one version of a prescribed drug for another, including generic-to-brand or brand-to-generic substitutions, different manufacturers' generics, different drug formulations, or different drugs in the same class.
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"Formulary" is defined as the list of prescription drugs covered under the policy, contract, agreement, or plan.
Legislative Description
To require certain insurers to provide notification of changes to their prescription drug coverage to all network health care providers, network pharmacies, network pharmacists, and insureds, and to specify when the change may apply.
Prescription drug insurance coverage- insurers notify if change
Last Action
To Health
2/22/2010