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2018 Regular Session



Pharmacy Benefits Managers - Requirements for Prior Authorization

Sponsored by:

Delegate Hill


In the House - Unfavorable Report by Health and Government Operations; Withdrawn

Synopsis:Prohibiting a pharmacy benefits manager from requiring prior authorization for certain coverage of certain prescription drugs prescribed in certain situations; authorizing a pharmacy benefits manager to require a prescriber to certify certain information after a drug is dispensed by the prescriber; requiring that a prior authorization form include a certain question; prohibiting a pharmacy benefits manager from requesting a reauthorization for a certain prescription drug under certain circumstances; etc.
Analysis:Fiscal and Policy Note
All Sponsors:Delegates Hill, Lam, Morhaim, and West
Additional Facts:Bill File Type: Regular
Effective Date(s): October 1, 2018
Health and Government Operations  View Committee Hearing
Broad Subject(s):Insurance - Health
Health Occupations
Narrow Subject(s):Communications -see also- Electronic Comm; Language; Telecom
Drugs -see also- Controlled Dangerous Sub; Substance Abuse
Health Insurance -see also- HMOS; Managed Care Organizations
Pharmacy Benefits Managers
Pharmacists and Pharmacies
Statutes:Article - Insurance

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March 9, 2018 9:35 A.M.