Bill > H1191

This bill aims to help patients and reduce healthcare costs by ensuring patient adherence to medications. The key provisions include: 1) Requiring individual or group health insurance policies providing prescription drug coverage to permit and apply a pro-rated daily cost-sharing rate to prescriptions that are dispensed by a network pharmacy for a partial supply, if the prescriber or pharmacist determines it is in the patient's best interest and the patient requests or agrees to a partial supply for medication synchronization. 2) Prohibiting these insurance policies from denying coverage for partially filled prescriptions in such cases. 3) Requiring the insurance plans to allow pharmacies to override any denial codes indicating the prescription is being refilled too soon for medication synchronization. 4) Prohibiting the use of payment structures incorporating pro-rated dispensing fees, and requiring full dispensing fees to be paid for partially filled or refilled prescriptions.

Business and Industry, Health and Social Services

https://malegislature.gov/Bills/192/H1191