Bill > H1135

This bill aims to help patients and reduce healthcare costs by ensuring patient adherence to medications. It requires 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 to be in the best interest of the patient and the patient requests or agrees to a partial supply for the purpose of synchronizing their medications. The bill also prohibits denying coverage for partially filled prescriptions and requires health plans to allow pharmacies to override any denial codes indicating that a prescription is being refilled too soon for medication synchronization purposes. Additionally, the bill prohibits the use of payment structures incorporating pro-rated dispensing fees, and requires dispensing fees for partially filled or refilled prescriptions to be paid in full.

Business and Industry, Health and Social Services

https://malegislature.gov/Bills/193/H1135